Degenerative Mitral Stenosis by echocardiography: presentation and outcome.

DMS is a condition of the elderly potentially resulting in severe mitral-obstruction and hemodynamic-alterations. However, DMS is frequently associated with severe comorbidities imparting considerable mortality following diagnosis, whereas DMS severity is a weak (albeit independent) determinant of mortality. Hence, patients with DMS should be carefully evaluated and interventional/surgical treatment prudently considered in those with limited comorbidity burden, particularly without-anaemia.