Mitral Stenosis

Mitral stenosis is obstruction of blood flow across the mitral valve, most commonly due to rheumatic heart disease.

In this episode, Chris and Mars review:

• Opening snap and the classic apical diastolic rumble
• Left atrial enlargement and pulmonary congestion
• Pulmonary hypertension and right-sided heart failure
• Why atrial fibrillation can rapidly worsen symptoms
• Stroke and systemic embolic risk
• Echocardiographic diagnosis
• Warfarin for atrial fibrillation with rheumatic mitral stenosis
• When percutaneous balloon mitral commissurotomy is preferred
• Why severe disease becomes especially important during pregnancy

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