6/13/2015

MitralStenosisDifferentialDiagnoses

MitralStenosisDifferentialDiagnoses
Author:ClaudiaDima,MD,FACCChiefEditor:RichardALange,MD,MBAmore...
Updated:Nov6,2014

DiagnosticConsiderations
Pregnantwomenwithmildtomoderatemitralstenosiscanalmostalwaysbemanagedwithjudicioususeof
diureticsandbetablockade.
Pregnantwomenwithseveremitralstenosiswhoaresymptomaticbeforeconceptionwillnotpredictablytolerate
thehemodynamicburdenofpregnancyandshouldbeconsideredforpercutaneousballoonmitralvalvotomy
beforeconceptionprovidedthevalveisanatomicallysuitable.
PatientswithseveremitralstenosiswhodevelopNYHAfunctionalclassIIIIVsymptomsduringpregnancy
shouldundergopercutaneousballoonvalvotomy.
Otherconditionstobeconsideredinpatientswithsuspectedmitralstenosisincludethefollowing:
CorTriatriatum
Leftatrialmyxoma
Ballvalvethrombus
Endocarditis
Massivemitralannularcalcification

ContributorInformationandDisclosures
Author
ClaudiaDima,MD,FACCInterventionalCardiology
Disclosure:Nothingtodisclose.
Coauthor(s)
KennethBDesser,MDClinicalProfessor,DirectorofCardiologyFellowship,BannerGoodSamaritanMedical
Center,Phoenix,Arizona
Disclosure:Nothingtodisclose.
SpecialtyEditorBoard
LMichaelPrisant,MD,FACC,FAHACardiologist,EmeritusProfessorofMedicine,MedicalCollegeofGeorgia,
GeorgiaRegentsUniversity
LMichaelPrisant,MD,FACC,FAHAisamemberofthefollowingmedicalsocieties:AmericanCollegeof
Cardiology,AmericanCollegeofChestPhysicians,AmericanCollegeofClinicalPharmacology,AmericanCollege
ofForensicExaminers,AmericanCollegeofPhysicians,AmericanHeartAssociation,andAmericanMedical
Association
Disclosure:BoehringerIngelheimHonorariaSpeakingandteaching
FranciscoTalavera,PharmD,PhDAdjunctAssistantProfessor,UniversityofNebraskaMedicalCenterCollege
ofPharmacyEditorinChief,MedscapeDrugReference
Disclosure:MedscapeSalaryEmployment
StevenJCompton,MD,FACC,FACP,FHRSDirectorofCardiacElectrophysiology,AlaskaHeartInstitute,
ProvidenceandAlaskaRegionalHospitals
StevenJCompton,MD,FACC,FACP,FHRSisamemberofthefollowingmedicalsocieties:AlaskaState
MedicalAssociation,AmericanCollegeofCardiology,AmericanCollegeofPhysicians,AmericanHeart
Association,AmericanMedicalAssociation,andHeartRhythmSociety
Disclosure:Nothingtodisclose.
AmerSuleman,MDPrivatePractice
AmerSuleman,MDisamemberofthefollowingmedicalsocieties:AmericanCollegeofPhysicians,American
HeartAssociation,AmericanInstituteofStress,AmericanSocietyofHypertension,FederationofAmerican
SocietiesforExperimentalBiology,RoyalSocietyofMedicine,andSocietyofCardiacAngiographyand
Interventions
Disclosure:Nothingtodisclose.
ChiefEditor
RichardALange,MD,MBAPresident,TexasTechUniversityHealthSciencesCenter,Dean,PaulLFoster
SchoolofMedicine
RichardALange,MD,MBAisamemberofthefollowingmedicalsocieties:AlphaOmegaAlpha,American
CollegeofCardiology,AmericanHeartAssociation,andAssociationofSubspecialtyProfessors
Disclosure:Nothingtodisclose.
AdditionalContributors
TheauthorsandeditorsofMedscapeDrugs&Diseasesgratefullyacknowledgethecontributionsofprevious
authorsHolgerPSalazar,MD,SenthilNachimuthu,MD,FACP,andKiruthikaBalasundaram,MBBS,tothe
developmentandwritingofthisarticle.

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