Mitral Stenosis

Mitral stenosis is a cardiovascular condition where there is a narrowing of the mitral valve. The narrowing of the valve leads to restricted opening of the valve, thus blocking the blood flow into the left ventricles. Shortness of breath, fatigue, swelling of feet and legs, heart murmur, coughing up blood, etc., are the symptoms. Treatment is done by the replacement of the valve.

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Can you interpret the results of my 2D echo test?

Query: Hi doctor,I just received the results of my 2D echo, and the MV annulus is out of range with a reading of 1.6, the normal range being 3.5 to 4.5. What does this mean? Otherwise, everything is normal.  Read Full »


Dr. Pramod Bhanudas Narkhede

Answer: Hello, It means that the annulus of one of the valves on left side, called mitral valve, is reduced in diameter. So, there is an obstruction to the flow of blood from the low-pressure chamber to the high-pressure chamber, that is, from the left atrium to the left ventricle, which can give rise to sy...  Read Full »

Can angioplasty help in treating mitral stenosis?

Query: Hello doctor, My mother, age 59, had an ischemic attack recently (Trop T test positive, CPK-MB elevated). She has had a BMV for her mitral stenosis two years back. She is currently in the ICU, on medicinal therapy (anti-thrombotics). She underwent an angiogram yesterday (report and video attached)...  Read Full »


Dr. Isaac Gana

Answer: Hello, Welcome to icliniq.com. I am sorry to hear about your mother's poor health condition. 1. There is a very good chance that angioplasty can help with the 100 % blockage alongside a stent. She is still young. If she can adhere to lifestyle modifications and medications it will help. 2. Rot...  Read Full »

Can alcohol and steroid cause heart failure with low ejection fraction?

Query: Hi doctor, My husband was just diagnosed with congestive heart failure with 25% ejection fraction. They also found an artery 100% blocked, but his own body made another vein and they discovered it is viable, so no bypass surgery is needed. They also discovered his mitral valve is stiffened, and no...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to icliniq.com. Thanks for the query madam. Good to know you are worried about your husband. Yes, alcohol and steroids do cause harm to the heart. Make sure your husband never uses these suicidal drugs again, as now he has an ejection fraction of only 25%. Coming to the mitral valve...  Read Full »

My mother had mitral stenosis. Which valve would be best for her biological or mechanical?

Query: Hello doctor, My mother is 59-years-old and has mitral stenosis. CMV was done 35 years back. Now recently she had a heartbeat of 150 and atrial flutter, and she was on Acitrom previously. She has undergone DC cardioversion shock. Now latest ECG shows atrial ectopic and her heart rate is 70 to 80. C...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. Yes, she is now a candidate for mitral valve replacement. However, you should make a note that valve replacement is not a complete solution. Firstly, at this age, a mechanical valve is better considering the durability of the valve. Bileaflet valve is the preferred o...  Read Full »

Are heart palpitations, tachycardia and shortness of breath due to mitral valve stenosis?

Query: Hello doctor, I am suffering from heart palpitations (especially when I lie down or do some physical activity), shortness of breath, tachycardia for the past three months. I am taking Propranolol (20 mg per day) for this. Propranolol is controlling trachycardia a bit. In stress my condition worsens...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to icliniq.com. It seems to be due to anxiety. To exclude any valvular disorder, the cardiologist will auscultate your heart carefully, if he listens any abnormal sound he may advise echo, otherwise no need. Regarding palpitations, better have an ECG done at the time of symptoms or alt...  Read Full »

What is the treatment for mitral stenosis?

Query: Hello doctor, I am a male and I am 30-years-old male. I have a mitral valve problem, and it is moderate mitral stenosis. What remedy do you advise? If I did the valvoplasty surgery will there be any other problem? If there is a problem, is there a possibility to do the valvoplasty again? I am afraid...  Read Full »


Dr. Ilir Sharka

Answer: Hello, Welcome to icliniq.com. There are specific criteria for surgery in case of mitral valve stenosis. Surgery does not resolve the problem and you may have to stay on anticoagulation therapy for your entire life. It can help improve your physical performance and avoid pulmonary edema (shortness...  Read Full »

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