Mitral Stenosis in Emergency Medicine Differential Diagnoses
- Author: Ethan S Brandler, MD, MPH; Chief Editor: Barry E Brenner, MD, PhD, FACEP more...
The severity of mitral stenotic disease is underestimated during periods of tachycardia, because a decrease in cardiac output leads to a decrease in the intensity of the murmur.
Administer antibiotic prophylaxis for beta-hemolytic streptococcal infections and prophylaxis for infective endocarditis to patients with mitral valve disease.
Aggressively treat anemia or infections in patients with mitral stenosis.
Bonow RO, Carabello BA, Kanu C, et al. ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing committee to revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease): developed in collaboration with the Society of Cardiovascular Anesthesiologists: endorsed by the Society for Cardiovascular Angiography and Interventions and the Society of Thoracic Surgeons. Circulation. 2006 Aug 1. 114(5):e84-231. [Medline].
Chandrashekhar Y, Westaby S, Narula J. Mitral stenosis. Lancet. 2009 Oct 10. 374(9697):1271-83. [Medline].
Bryant PA, Robins-Browne R, Carapetis JR, Curtis N. Some of the people, some of the time: susceptibility to acute rheumatic fever. Circulation. 2009 Feb 10. 119(5):742-53. [Medline].
Guilherme L, Kalil J. Rheumatic fever and rheumatic heart disease: cellular mechanisms leading autoimmune reactivity and disease. J Clin Immunol. 2010 Jan. 30(1):17-23. [Medline].
Sampaio RO, Fae KC, Demarchi LM, Pomerantzeff PM, Aiello VD, Spina GS. Rheumatic heart disease: 15 years of clinical and immunological follow-up. Vasc Health Risk Manag. 2007. 3(6):1007-17. [Medline].
Baltimore RS. Re-evaluation of antibiotic treatment of streptococcal pharyngitis. Curr Opin Pediatr. 2010 Feb. 22(1):77-82. [Medline].
Shulman ST, Tanz RR, Dale JB, et al. Seven-year surveillance of north american pediatric group a streptococcal pharyngitis isolates. Clin Infect Dis. 2009 Jul 1. 49(1):78-84. [Medline].
Libby p, Bonow RO, Zipes DP, Mann DL. Valvular Heart Disease. Libby: Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 8th ed. WB Saunders Co; 2007.
Carabello BA. Modern management of mitral stenosis. Circulation. 2005 Jul 19. 112(3):432-7. [Medline].
[Guideline] Bonow RO, Carabello BA, Chatterjee K, de Leon AC Jr, Faxon DP, Freed MD, et al. 2008 focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to revise the 1998 guidelines for the management of patients with valvular heart disease). Endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. J Am Coll Cardiol. 2008 Sep 23. 52(13):e1-142. [Medline].
Gash AK, Carabello BA, Cepin D, Spann JF. Left ventricular ejection performance and systolic muscle function in patients with mitral stenosis. Circulation. 1983 Jan. 67(1):148-54. [Medline].
Shulman ST, Stollerman G, Beall B, Dale JB, Tanz RR. Temporal changes in streptococcal M protein types and the near-disappearance of acute rheumatic fever in the United States. Clin Infect Dis. 2006 Feb 15. 42(4):441-7. [Medline].
Carapetis JR. Rheumatic heart disease in developing countries. N Engl J Med. 2007 Aug 2. 357(5):439-41. [Medline].
Nkomo VT, Gardin JM, Skelton TN, Gottdiener JS, Scott CG, Enriquez-Sarano M. Burden of valvular heart diseases: a population-based study. Lancet. 2006 Sep 16. 368(9540):1005-11. [Medline].
Rahimtoola SH. Mitral valve disease. Hurst's The Heart. 12th ed. McGraw-Hill Medical Publishing Division; 2008. chap 77.
WHO. Rheumatic Fever and Rheumatic Heart Disease: Report of a WHO Expert Consultation, Geneva, 29 October - 1 November 2001. 2004.
Marijon E, Celermajer DS, Tafflet M, El-Haou S, Jani DN, Ferreira B. Rheumatic heart disease screening by echocardiography: the inadequacy of World Health Organization criteria for optimizing the diagnosis of subclinical disease. Circulation. 2009 Aug 25. 120(8):663-8. [Medline].
Marijon E, Ou P, Celermajer DS, et al. Prevalence of rheumatic heart disease detected by echocardiographic screening. N Engl J Med. 2007 Aug 2. 357(5):470-6. [Medline].
Carapetis JR, Steer AC, Mulholland EK, Weber M. The global burden of group A streptococcal diseases. Lancet Infect Dis. 2005 Nov. 5(11):685-94. [Medline].
Tadele H, Mekonnen W, Tefera E. Rheumatic mitral stenosis in Children: more accelerated course in sub-Saharan Patients. BMC Cardiovasc Disord. 2013 Nov 1. 13(1):95. [Medline].
Atak R, Yetkin E, Yetkin O, et al. Increased systemic and regional coagulation activity in patients with mitral stenosis and sinus rhythm. Angiology. 2003 Sep-Oct. 54(5):593-7. [Medline].
Carroll JD, Feldman T. Percutaneous mitral balloon valvotomy and the new demographics of mitral stenosis. JAMA. 1993 Oct 13. 270(14):1731-6. [Medline].
Zehtabchi S, Brandler ES. Evidence-based emergency medicine/rational clinical examination abstract. Does this patient have congestive heart failure?. Ann Emerg Med. 2008 Jan. 51(1):87-90. [Medline].
Wunderlich NC, Beigel R, Siegel RJ. Management of Mitral Stenosis Using 2D and 3D Echo-Doppler Imaging. JACC Cardiovasc Imaging. 2013 Nov. 6(11):1191-205. [Medline].
Guven S, Sen T, Tufekcioglu O, Gucuk E, Uygur B, Kahraman E. Evaluation of left ventricular systolic function with pulsed wave tissue Doppler in rheumatic mitral stenosis. Cardiol J. 2013 Dec 2. [Medline].
Zamorano J, de Agustin JA. Three-dimensional echocardiography for assessment of mitral valve stenosis. Curr Opin Cardiol. 2009 Sep. 24(5):415-9. [Medline].
Matthys J, De Meyere M, van Driel ML, De Sutter A. Differences among international pharyngitis guidelines: not just academic. Ann Fam Med. 2007 Sep-Oct. 5(5):436-43. [Medline].
[Guideline] Gerber MA, Baltimore RS, Eaton CB, Gewitz M, Rowley AH, Shulman ST. Prevention of rheumatic fever and diagnosis and treatment of acute Streptococcal pharyngitis: a scientific statement from the American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee of the Council on Cardiovascular Disease in the Young, the Interdisciplinary Council on Functional Genomics and Translational Biology, and the Interdisciplinary Council on Quality of Care and Outcomes Research: endorsed by the American Academy of Pediatrics. Circulation. 2009 Mar 24. 119(11):1541-51. [Medline].
[Guideline] Wilson W, Taubert KA, Gewitz M, et al. Prevention of infective endocarditis: guidelines from the American Heart Association: a guideline from the American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group. Circulation. 2007 Oct 9. 116(15):1736-54. [Medline].
Carabello BA, Crawford FA Jr. Valvular heart disease. N Engl J Med. 1997 Jul 3. 337(1):32-41. [Medline].
Chiang CW, Lo SK, Ko YS, et al. Predictors of systemic embolism in patients with mitral stenosis. A prospective study. Ann Intern Med. 1998 Jun 1. 128(11):885-9. [Medline].
Itoh A, Kobayashi J, Bando K, et al. The impact of mitral valve surgery combined with maze procedure. Eur J Cardiothorac Surg. 2006 Jun. 29(6):1030-5. [Medline].
Massie BM, Granger CB, McPhee SJ. Valvular heart disease. Tierney's: Current Medical Diagnosis & Treatment. Online Eds. 2005.
Reyes VP, Raju BS, Wynne J, et al. Percutaneous balloon valvuloplasty compared with open surgical commissurotomy for mitral stenosis. N Engl J Med. 1994 Oct 13. 331(15):961-7. [Medline].
Selzer A, Cohn KE. Natural history of mitral stenosis: a review. Circulation. 1972 Apr. 45(4):878-90. [Medline].
Stoltz C, Bryg RJ. Mitral stenosis. Crawford's: Current Diagnosis & Treatment in Cardiology. 2nd ed. McGraw-Hill Co; 2003. chap 10.
Mukherjee C, Holzhey D, Mende M, Linke A, Kaisers UX, Ender J. Initial experience with a percutaneous approach to redo mitral valve surgery: Management and procedural success. J Cardiothorac Vasc Anesth. 2015 Aug. 29(4):889-97. [Medline].
Mukherjee S, Jagadeeshaprasad MG, Banerjee T, et al. Proteomic analysis of human plasma in chronic rheumatic mitral stenosis reveals proteins involved in the complement and coagulation cascade. Clin Proteomics. 2014. 11(1):35. [Medline].