Question:

Mitral Valve Stenosis?

Well I had a Anginogram that said I have Mitral Valve Stenosis with the LVEDP was Moderately Elevated and My Right Ventricular Moderately Elevated and My Right Atruim is Moderately Elevated what do all this mean I see my cardiologists in two weeks to go over things. Oh yes they don't say how much the Mitral Valve is narrow.

Answer:

Actually, stenosis means narrowing, not hardening. (From Websters: New Latin, from Greek stenōsis act of narrowing, from stenoun to narrow, from stenos narrow) Mitral valve stenosis is often pretty benign (not dangerous), but it can be if it is severe. The elevation of the atrium I guess means that the atrium is larger than is should be, but as that's not a term I'm familiar with, I'm not sure. If the Valve is narrowed it does take more force to push the blood thru, so the walls of the atrium would become larger as they have to work harder. Definitely see your doc and find out just what's going on.....but calm down. Most people that have this don't even know it. There are clear medical treatments that are very effective....and worst case replacement of the valve is really a fairly routine surgery (for the docs anyway....they've been doing this for 25-30 yrs at least)
Not sure I understand the question. Stenosis just means hardening, so if your valve is stenotic, your heart is having to work harder to push the blood through the valve. This would cause your left ventricle to enlarge to compensate for the increased demand.
Mitral stenosis (MS) is narrowing of the mitral orifice impeding blood flow from the left atrium to the left ventricle. The (almost) invariable cause is rheumatic fever. Common complications are pulmonary hypertension, atrial fibrillation, and thromboembolism. Symptoms are those of heart failure; signs include an opening snap and a diastolic murmur. Diagnosis is by physical examination and echocardiography. Prognosis is good. Medical treatment includes diuretics, β-blockers or rate-limiting Ca channel blockers, and anticoagulants; effective treatment for more severe disease consists of balloon valvotomy, surgical commissurotomy, or valve replacement. The normal area of the mitral valve orifice is about 4 to 6 cm2. Under normal conditions, a normal mitral valve will not impede the flow of blood from the left atrium to the left ventricle during (ventricular) diastole, and the pressures in the left atrium and the left ventricle during diastole will be equal. The result is that the left ventricle gets filled with blood during early diastole, with only a small portion of extra blood contributed by contraction of the left atrium (the atrial kick) during late ventricular diastole. Patients with mitral stenosis prompts a series of hemodynamic changes that frequently cause deterioration of the patient's clinical status. A reduction in cardiac output, associated with acceleration of heart rate and shortening of the diastolic time, frequently leads to congestive heart failure. In addition, when AF sets in, systemic embolization becomes a real danger. Please undergo echocardiography test and check whether you have other heart defects such as mitral regurgitation and aortic insufficiency.

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