The Intern At Work: Internal Medicine 231. When life closes a door- An Approach to Mitral Stenosis
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Mar 24, 2024 Dive into the world of mitral stenosis, a condition linked to untreated strep throat and rheumatic heart disease. Discover its pathophysiology, symptoms, and the importance of early diagnosis. Gain insights into management strategies and learn how awareness can significantly impact prevention efforts globally. This discussion is packed with valuable information for anyone interested in internal medicine.
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Rheumatic Origins of Mitral Stenosis
- Mitral stenosis most commonly results from rheumatic heart disease due to an autoimmune reaction following strep throat.
- It may develop symptoms decades later, often asymptomatic at first, affecting mainly women in high prevalence areas.
Assess Stability and Symptoms First
- Always assess patient stability first by checking ABCs and vital signs.
- Recognize symptoms like dyspnea, exercise intolerance, and signs of right heart failure for diagnosis.
Electrical Risks from Mitral Stenosis
- Left atrial enlargement from mitral stenosis increases atrial fibrillation risk.
- Tachycardia worsens symptoms by reducing ventricular filling time and cardiac output.