Conservative Treatment of Mitral Valve Stenosis

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Conservative Treatment of Mitral Valve Stenosis

In patients with heart failure doctors follow the New York Heart Association classification to establish the best treatment method. Patients are classified in four categories depending on their symptoms with exertion. Intervention is determined based on the severity of Mitral Stenosis.

Usually patients with mild symptoms are closely monitored by regular follow up doctor visits and periodic echocardiogram. No interventional treatments are advised to them at this stage. Medications can be given to reduce symptoms, but it does not cure mitral stenosis. The disease may worsen in 10 years or take up to 40 years to progress.

When the mitral valve gets diseased, the heart pumps harder to cope up with the needs of the body. This puts a constant strain on the heart and will lead to heart failure. Medication will help to make the heart beat harder and regulate the heartbeat [beta-blockers, calcium channel blockers] . Diuretics or water-pills will be given in case of heart failure. Digitalis helps the workload of the heart. ACE inhibitors reduce the blood pressure and also lessen the workload of the heart.

Antibiotics are recommended before any surgical or dental procedures. This prevents the patient from developing endocarditis [inflammation of the heart wall and valves due to infection].

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Patients undergoing mitral valve replacement are susceptible to the following risks. Bleeding, infection, complex reaction to anesthetic. The risk involved in most cases can be determined by the physician and it depends on a variety of factors such as the patient’s age, general condition, specific medical problems and heart functions.

Alternative treatment is Balloon valvuloplasty.Balloon valvuloplasty is performed using a catheter, i.e. a very thin flexible tube which can be inserted into the body, with a balloon at the end. The balloon is put inside the valve and is expanded thus stretching the valve and bringing it back to its normal size. For more info:

can you pl guide me what to do i have mitral valve balooning twice after gap of 10 years and presently,I am only 30 years old.I am on acitrom 2 mg [Anticoagulant], metolar 25 mg and Penicilin 10 lacs once in three weeks.I am having feeling of irregular heart beating and sometimes irregular palpitations.I had undergone check up in 2008 june last time everything was ok and there was no need of balloning that time.Is it possible that there may be severe damage only in these two yaers that is between 2008 to 2010.Pl suggest and what could be the situation.


hallo, i am suffering from mitral valve stenosis for about 3.5jear. am like you help me without operation.


My mother had sucessive surgery. I flew her to NYC to see Dr David Adams ..the worlds greatest in mitral valve repair and replacement. His entire team at Mount Sinai is fabulous. He see patients from around the world.


i am suffering from Mitral stenosis(Moderate-severe)and Mitral regurgitation(Mild-moderate).The disease surfaced some 5/6 months back.i am intrested in the latest non surgical treatment.please guide/help me.thanks with regards,waiting for your reply.

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