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 Di Zhi Yong
Cardiology
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Possible causes of blood-streaked sputum in mitral stenosis

If the patient shows signs of mitral stenosis, it could be due to congestive heart failure causing pulmonary congestion, which may lead to blood-streaked sputum. It is also possible that the bleeding is caused by vascular dilation. For bleeding caused by mitral valve issues, symptomatic treatment is primarily used. Medications to stop bleeding can be employed, as well as vasoconstrictors to achieve hemostasis. However, it is still recommended that the patient visit a hospital to undergo cardiac echocardiography and chest CT to further confirm the diagnosis and determine the treatment plan. Currently, medications that improve myocardial function or reduce cardiac load can be used for treatment.

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Written by Di Zhi Yong
Cardiology
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Mild to moderate mitral stenosis, how long?

If the patient has mitral stenosis which is mild and progressing to moderate, it will take a year or even longer. Because if mild cases are aggressively managed with medication, it can slow the further progression of the disease. Mitral stenosis is a type of rheumatic heart disease or heart valve disease, mainly causing symptoms such as palpitations, chest tightness, and shortness of breath, with severe cases also presenting with swelling of the lower limbs. For mild mitral stenosis, it is necessary to have regular hospital check-ups, particularly to actively prevent upper respiratory tract infections, as sometimes these conditions can occur after catching cold, and actively controlling respiratory inflammation can improve symptoms.

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Written by Chen Tian Hua
Cardiology
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What is mild regurgitation of the mitral and tricuspid valves?

If a cardiac echocardiogram simply finds mild regurgitation of the mitral and tricuspid valves, and the heart isn't noticeably enlarged, and the valves have no organic lesions, this mild regurgitation of the mitral and tricuspid valves isn't considered a pathological state. It should be considered as physiological degeneration of the valves and doesn't require treatment, generally causing no harm to overall health. However, some occurrences of mild regurgitation of the mitral and tricuspid valves are due to enlargement of the left and right ventricles. In these cases, it's necessary to further identify the causes leading to the enlargement of the ventricles and actively address them to control the condition effectively. This avoids further enlargement of the ventricles, which could worsen the valve regurgitation and negatively impact health.

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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 Chen Tian Hua
Cardiology
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Mild regurgitation of the mitral and tricuspid valves, what's the cause?

Mild regurgitation of the mitral and tricuspid valves, if seen in healthy individuals without related organic diseases, mainly occurs due to the physiological aging of the mitral and tricuspid valves as age increases. This results in slight insufficiency during ventricular contraction, leading to mild regurgitation. This condition is not pathological and does not require treatment, nor does it lead to adverse consequences. However, if the mild regurgitation of the mitral and tricuspid valves is accompanied by an organic disease that causes ventricular enlargement, the cardiac enlargement and annular dilation result in relative regurgitation due to the organic disease. It is necessary to actively control the underlying disease to prevent further enlargement of the heart, which could worsen the insufficiency and cause more blood regurgitation.