Stress echocardiography in assesment of patients with severe mitral valve stenosis incompatible with clinical symptoms a clinical case report
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Abstract
Mitral stenosis is one of the most common valvular heart diseases in the world and in Vietnam, and is also a group of diseases with many treatment options that have been proven to improve the prognosis of heart valve lesions. The timing of intervention or surgery has been clearly stated in the recommendations of the American Heart Association as well as the European Society of Cardiology: the patient is symptomatic and the valve area is severely stenotic. However, clinically, there are many cases where there is a disproportion between the level of clinical symptoms and the valve area, therefore it is necessary to carefully assess the symptoms of dyspnea in patients with mitral stenosis. In addition to clinical examinations, stress echocardiography is a recommended option to assess the patient's symptoms of dyspnea, in order to decide on the timing of intervention. We report a case of mitral stenosis with a valve area of less than 1.5cm2, but well tolerated by stress echocardiography, which allowed continued medical monitoring and did not require intervention.
Article Details
Keywords
Mitral Stenosis, stress echocardiography
References
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