Condition Info - BotMed Application

ConditionName

Mitral stenosis

ConditionDescription

Symptoms

Shortness of breath, especially with activity or when you lie down;
Fatigue, especially during increased activity;
Swollen feet or legs;
Palpitations;
Chest discomfort or chest pain;
Coughing up blood;
Dizziness or fainting;
Heart murmur;
Fluid buildup in the lungs;
Arrhythmias;

PhysicalFindings

Diastolic murmur;
Opening snap in early diastole, radiates in axilla;
Squatting and leg raising increase it – it increases venous return, it ↑murmur;

ClinicalTests

Echocardiography;
x-ray shows left arterial hypertrophy;

RiskFactors

Young adult who had rheumatic fever when was a child;

IsRedFlag

IsNPLEX

Consequence

SOB, CHF;
Dysphagia, hoarseness  or cough(pressure on the recurrent laryngeal nerve);

Atrial fibrillation and stroke. A-fib the cause of stroke!
Hemoptysis -cough up blood;
Systemic embolism;
Fatigue;
Nocturnal dyspnea;

ProgressionFromCondition

Rheumatic fever;
Pregnancy;

TreatmentOptions

Decrease pre-loads: Reduce salt intake;

PharmOptions

WebLink

https://www.merckmanuals.com/en-ca/professional/cardiovascular-disorders/valvular-disorders/mitral-stenosis