Why does mitral stenosis cause thromboembolism?

Written by Di Zhi Yong
Cardiology
Updated on September 07, 2024
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Due to mitral stenosis, thrombus formation can sometimes occur, especially when ischemic cerebrovascular diseases lead to cerebral infarction. This is because mitral stenosis can cause emboli to dislodge and travel through the bloodstream to reach the cerebral arteries or veins, leading to thrombus formation. During this period, anticoagulant medications are sometimes used for treatment. If a patient has a history of mitral stenosis, it is necessary to actively use medications for treatment. During this time, it is also important to monitor changes in the patient’s heart rate, blood pressure, and pulse to control the ventricular rate. Currently, treatment is primarily symptomatic, aimed at improving cardiac function.

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Written by Li Hai Wen
Cardiology
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The causes of embolism in mitral stenosis

Mitral stenosis in patients can lead to embolism due to the tendency of mitral stenosis to cause enlargement of the left atrium. The enlargement of the left atrium is a key anatomical factor leading to atrial fibrillation and cardiac arrhythmias. When atrial fibrillation occurs, it is easy for blood clots to form in the left atrium, especially in the area of the left atrial appendage. When a blood clot breaks off, it can travel with the bloodstream and cause occlusion of the corresponding blood vessels, resulting in embolic complications. Timely surgical intervention to treat mitral stenosis can effectively prevent complications such as atrial enlargement and blood clots caused by mitral stenosis.

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Written by Di Zhi Yong
Cardiology
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Does mitral valve cause hemoptysis with lumps?

If the patient has a history of mitral stenosis, it is still necessary to actively control the symptoms in treatment. Because mitral stenosis can cause hemoptysis, the amount of blood coughed up depends on individual factors. This condition can cause capillary rupture and bleeding, which may result in the coughing up of blood clots. This situation does not indicate whether there is a tumor, as mitral stenosis is a type of rheumatic heart disease or congenital heart disease. Currently, the treatment primarily focuses on symptomatic relief, actively controlling the heart rate, and managing changes in blood pressure and pulse, which can also improve this condition.

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Written by Di Zhi Yong
Cardiology
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Can someone with mitral stenosis fly on a plane?

If the patient has a history of mitral stenosis, it is best not to fly, as flying may exacerbate the symptoms, causing situations like palpitations, chest tightness, and breathing difficulties. If the mitral stenosis is treated timely, these symptoms will subside. During this period, it is also important to monitor changes in the patient's heart rate, blood pressure, and pulse. An overly rapid heart rate can sometimes cause palpitations. It is especially important to manage the ventricular rate. The patient's diet should primarily consist of low salt, low fat, and low sugar. Regular re-examinations of the electrocardiogram and echocardiogram are necessary, and if symptoms worsen, it is critical to go to the hospital for treatment promptly.

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Written by Li Hai Wen
Cardiology
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Is severe mitral valve regurgitation serious?

Mitral valve regurgitation can be mild, moderate, or severe, with severe mitral valve regurgitation being the most serious. Over time, severe mitral valve regurgitation can cause enlargement of the heart and a decreased heart pumping function, eventually leading to symptoms of heart failure. Patients may experience difficulty breathing, shortness of breath, fatigue, and other symptoms. Additionally, there may be swelling in both lower limbs. When such symptoms occur, it is necessary to take diuretic medications under the guidance of a doctor to reduce heart strain, such as furosemide or spironolactone. If necessary, digoxin may be taken to strengthen the heart and improve symptoms of heart failure. After stabilization, a mitral valve replacement or repair surgery may be scheduled.

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Written by Di Zhi Yong
Cardiology
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Can mitral stenosis be repaired?

Mitral stenosis sometimes requires surgical treatment to achieve repair standards, but it cannot be repaired solely through medication, as medications only relieve symptoms and cannot serve the purpose of treatment. This disease can cause ischemic and hypoxic changes, leading to heart failure. Patients typically present with a rumbling murmur in the precordial area, and may also experience palpitations, difficulty breathing, and other symptoms. It is sometimes crucial to actively monitor changes in the patient's blood pressure, heart rate, and pulse. The treatment primarily focuses on symptomatic relief, improving heart function, and may include the administration of low-flow oxygen inhalation to help alleviate the current condition of the patient.