Evaluation of the severity of mitral stenosis in patient with pulmonary hypertension: Role of exercise hemodynamics.
Morton J KernMin KimJeannie H YuArnold H SetoPublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2019)
Dyspnea due to mitral stenosis (MS) and/or pulmonary hypertension (PHT) in patients who may have both conditions presents a challenging diagnostic dilemma. The hemodynamic response to exercise is probably the most helpful method to arrive at the correct diagnosis and treatment algorithm. In this hemodynamic rounds discussion, we evaluated a patient with MS and PHT prior to the decision for mitral valvuloplasty. KEY POINTS: Symptoms in patients with mitral stenosis and pulmonary hypertension cannot always be attributed to one pathology. Catheter-based hemodynamics are often needed to differentiate valve from lung disease. Exercise hemodynamics can clarify the predominant pathology in complex clinical scenarios.
Keyphrases
- pulmonary hypertension
- mitral valve
- aortic stenosis
- left ventricular
- left atrial
- high intensity
- pulmonary artery
- transcatheter aortic valve replacement
- ejection fraction
- pulmonary arterial hypertension
- aortic valve
- mass spectrometry
- transcatheter aortic valve implantation
- physical activity
- multiple sclerosis
- case report
- resistance training
- ms ms
- deep learning
- machine learning
- climate change
- coronary artery disease
- heart failure
- atrial fibrillation
- decision making