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Mitral stenosis follow up

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rim Halaby, M.D. [2]

Overview

Regular follow up is recommended among patients with asymptomatic mitral stenosis (MS) and preserved left ventricular ejection fraction.[1]

Follow Up

Echocardiography is performed for follow up among asymptomatic patients with MS to assess the left ventricular ejection fraction (LVEF) and end-systolic dimension. The frequency of follow up with an echocardiogram among asymptomatic patients with MS and normal LVEF is as follows:[1]

  • Progressive MS, stage B (mitral valve area >1.5 cm2): every 3-5 years
  • Severe MS, stage C (mitral valve area 1.0-1.5 cm2): every 1-2 years
  • Severe MS, stage C (mitral valve area <1.0 cm2): every year

References

  1. 1.0 1.1 Nishimura RA, Otto CM, Bonow RO, Carabello BA, Erwin JP, Guyton RA; et al. (2014). “2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines”. Circulation. 129 (23): 2440–92. doi:10.1161/CIR.0000000000000029. PMID 24589852.

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