Talk:Mitral stenosis

When
When we get to mentioning the echo scoring technique to determine who should go for percutaneous mitral valvotomy for mitral stenosis, mention the following references and text:


 * 1. Wilkins GT, Weyman AE, Abascal VM, Block PC, Palacios IF. Percutaneous balloon dilatation of the mitral valve: an analysis of echocardiographic variables related to outcome and the mechanism of dilatation. Br Heart J. 1988 Oct;60(4):299-308. (Medline abstract)


 * 2. Abascal VM, Wilkins GT, O'Shea JP, Choong CY, Palacios IF, Thomas JD, Rosas E, Newell JB, Block PC, Weyman AE. Prediction of successful outcome in 130 patients undergoing percutaneous balloon mitral valvotomy. Circulation. 1990 Aug;82(2):448-56. (Medline abstract)

Scoring based on 4 criteria: leaflet mobility, leaflet thickening, subvalvar thickening, and calcification.1 Individuals with a score of &ge; 8 tended to have suboptimal results.2 Superb results with valvotomy are seen in individuals with a crisp opening snap, score < 8, and no calcium in  the commisures.

Contraindications to percutaneous mitral valvotomy include more than 2+ mitral regurgitation and left atrial thrombus.

Moved into the article.Ksheka 11:38, Sep 6, 2004 (UTC)

Pressures
I disagree with the article's statement: ""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.""

Sure, there may be an instant (so small) when the pressure between the left atrium and the left ventricle are the same. But for the overwhelimng majority of the time, when blood flows towards the left ventricle, even before the left atrium's contraction, the pressure is lower in the left ventricle then in the left atrium (see graph). --Bobjgalindo 21:23, 10 September 2007 (UTC)

Nonsensical
The following line is unclear: "The M1 component of the M1, T1 the two components of the first heart sound is accentuated." —Preceding unsigned comment added by 62.31.233.135 (talk) 13:23, 2 February 2009 (UTC)

Degenerative MS
10.1161/CIRCULATIONAHA.115.020185 JFW &#124; T@lk  16:07, 25 April 2016 (UTC)

Citation needed
Why did someone go through the trouble of adding all the "citation needed" marks in the pathophysiology section, but not even look for citations? Any decent pathophysiology book would do as a reference for all of these. UltraSunshine (talk) 07:04, 26 April 2017 (UTC)

External links modified (February 2018)
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Notable sufferers
In case it may be useful to add a list or category: – Fayenatic  L ondon 03:52, 23 July 2023 (UTC)
 * Born with
 * Constant Tonegaru
 * Died of
 * Albert von Bezold
 * Frederick Hyland