Mitral Valve Stenosis, A Simple Guide To The Condition, Treatment And Related Conditions
By Kenneth Kee
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About this ebook
Mitral Stenosis is a condition in which the valve does not open fully causing restriction of blood flow
Mitral stenosis means that the valve cannot open enough.
As a result less blood flows to the body.
The upper heart chamber swells as pressure builds up.
Blood and fluid may then collect in the lung tissue (pulmonary edema) making it hard to breathe.
Symptoms are:
1. Cough
2. Shortness of breath
3. Poor feeding or sweating when feeding
4. Poor growth
Signs:
1. Malar flush on the cheeks.
2. Laterally displaced apex beat.
3. Right ventricular heave.
4. Loud first heart sound with an opening snap in early diastole.
5. A mid-late diastolic murmur, best heard, with the patient in the left lateral position, with the bell of the stethoscope.
6. Signs of right ventricular failure including
a. Hepatomegaly,
b. Lung congestion
c. Ascites
d. Peripheral edema.
Chest x-ray and CT scan may show left atrial enlargement and interstitial edema with Mitral valve calcification
ECG (electrocardiogram)
1. Left atrial hypertrophy:
a. P mitrale - increased voltage in the later part of the P wave gives it a large, bifid appearance in leads II, III and aVF
b. The second half of the P wave is negative in V1
c. Atrial fibrillation is present in 60 to 70%
2. Right ventricular hypertrophy:
a. A dominant R wave in V1 and V2 indicates pulmonary hypertension
b. Right axis deviation
Treatment
People with mild symptoms or none at all may not need treatment.
For severe symptoms, diagnosis and treatment may be done at the heart specialist clinic.
A. Medicines:
Medications are used to treat:
1. Symptoms of heart failure
a. Diuretics (water pills),
2. Abnormal heart rhythms (most commonly atrial fibrillation)
a. Beta-blockers,
b. Digoxin.
3. High blood pressure
a. Calcium channel blockers,
b. ACE inhibitors,
c. Angiotensin receptor blockers (ARBs)
4. Prevent blood clots.
Anticoagulants (blood thinners) are used to prevent blood clots from forming and traveling to other parts of the body.
5. Prevent infection
People who have had rheumatic fever may need long-term preventive treatment with penicillin.
Heart Surgical procedures to treat mitral stenosis.
1. Percutaneous mitral balloon valvotomy (also called valvuloplasty) may be tried instead of surgery in people with a less damaged mitral valve.
During this procedure, a tube is inserted into a vein, usually in the leg.
It is threaded up into the heart.
A balloon on the tip of the catheter is inflated widening the mitral valve and improving blood flow.
2. Repair or replacement of the mitral valve.
Replacement valves can be made from different materials
TABLE OF CONTENT
Introduction
Chapter 1 Mitral Stenosis
Chapter 2 More Facts about Mitral Stenosis
Chapter 3 Treatment of Mitral Stenosis
Chapter 4 Heart Valve Diseases
Chapter 5 Mitral Regurgitation
Chapter 6 Aortic Stenosis
Chapter 7 Pulmonary Stenosis
Chapter 8 Tricuspid Stenosis
Epilogue
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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