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The natural history of mitral stenosis secondary to rheumatic fever (the most common cause) is an asymptomatic latent phase following the initial episode of rheumatic fever. This latent period lasts an average of 16.3 ± 5.2 years. Once symptoms of mitral stenosis begin to develop, progression to severe disability takes 9.2 ± 4.3 years.
Mitral valve stenosis (MVS) can sometimes be a cause of mitral regurgitation (MR) in the sense that a stenotic valve (calcified and with restricted range of movement) allows backflow (regurgitation) if it is too stiff and misshapen to close completely. Most MVS is caused by RF, so one can say that MVS is sometimes the proximal cause of MI/MR ...
Patients with mitral stenosis may present with heart failure symptoms, such as dyspnea on exertion, orthopnea and paroxysmal nocturnal dyspnea, palpitations, chest pain, hemoptysis, thromboembolism, or ascites and edema (if right-sided heart failure develops). [16] Symptoms of mitral stenosis increase with exercise and pregnancy [16]
In general, unless the ASD and mitral stenosis causing Lutembacher's syndrome is severe, symptoms may not appear until the second and third decade of the patient's life. [ citation needed ] As many of the patients are asymptomatic and symptoms may not appear until later in life, the duration or frequency of the symptoms varies.
Mitral regurgitation can also be caused by rheumatic fever, an inflammatory disease that can affect the heart tissue and lead to chronic rheumatic heart disease. The chronic inflammation leads to leaflet fibrosis, which makes it so that they don’t form a nice seal and instead let blood leak through.
Feb. 13—Sweating, nausea, dizziness and unusual fatigue may not sound like typical heart attack symptoms. However, they are common for women and may occur more often when resting or asleep.
Mitral stenosis causes left atrial pressure to increase, which, if left untreated, can lead to ventricular dilation, hypertrophy, atrial fibrillation, and thrombus creation. Symptoms include shortness of breath ( dyspnea ) on exertion, when lying flat ( orthopnea ) or during the night ( paroxysmal nocturnal dyspnea ), and fatigue.
395.0 Rheumatic aortic stenosis; 395.1 Rheumatic aortic insufficiency; 395.2 Rheumatic aortic stenosis with insufficiency; 395.9 Other and unspecified; 396 Diseases of mitral and aortic valves; 397 Diseases of other endocardial structures. 397.0 Diseases of tricuspid valve; 397.1 Rheumatic diseases of pulmonary valve; 397.9 Rheumatic diseases ...
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