Mitral Stenosis: Diagnosis and Treatment

by Carlo Raj, MD

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    00:01 Mitral stenosis. Echo, what might you found here? Valves are very very stenosed. Left atrium very very enlarged. Let us manage our patient with mitral stenosis. Remember when we talked about that opening snap, when did we say that the severity is worse with that opening snap? Closer to S2. You with me? Good. So if you hear that opening snap closer to S2, surgical intervention, mandatory. What about that atrial fibrillation? What are you worried about? Thrombi formation so, therefore, what kind of drug might you be thinking about for prophylaxis? Warfarin.

    00:36 A beautiful mnemonic I worked for this is WEPT. W warfarin, E extrinsic, PT. Now I am not a mnemonic man, you will not find a big fat M on my chest. It's not going to happen. But every once in a while, strategically why not have a little fun. Treatment. Fluid overload. And why? What happened? Pulmonary edema. So what might you want to use so that you can get rid of that fluid? How about diuretic? So these are things that you want to keep in mind when dealing with management. What's my next step of management when dealing with mitral stenosis specifically.

    About the Lecture

    The lecture Mitral Stenosis: Diagnosis and Treatment by Carlo Raj, MD is from the course Valvular Heart Disease: Basic Principles with Carlo Raj.

    Included Quiz Questions

    1. Right ventricular failure
    2. Pulmonary capillary wedge pressure of > 20 mmHg
    3. Left atrial pressure > 15 mmHg
    4. Dysphagia
    5. Hoarseness

    Author of lecture Mitral Stenosis: Diagnosis and Treatment

     Carlo Raj, MD

    Carlo Raj, MD

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