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CONDITION/DISORDER SYNONYM
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394.0 Mitral stenosis
394.2 Mitral stenosis with insufficiency
396.0 Mitral valve stenosis and aortic valve stenosis
396.1 Mitral valve stenosis and aortic valve insufficiency
746.5 Congenital mitral stenosis
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I05.0 Rheumatic mitral stenosis
I05.2 Rheumatic mitral stenosis with insufficiency
I34.2 Nonrheumatic mitral (valve) stenosis
Q23.2 Congenital mitral stenosis
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PREFERRED PRACTICE PATTERN
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PATIENT PRESENTATION
A 55-year-old male, originally from Guatemala, is preparing to run his first 5K. He states that while training his heart was racing and he coughed up a little bit of blood. He states that he had rheumatic fever as a child, but has been very healthy ever since. Vitals are: Pulse: 80, Respirations: 16, Blood Pressure: 126/80, and SpO2% of 99%. On physical examination there is an opening snap and a faint diastolic murmur over the cardiac apex. A chest X-ray and EKG are within normal limits and the cardiac echo reveals a narrowing of the mitral valve.
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Narrowing of the mitral valve2
Causes reduced blood flow
Limited blood flow between left atrium and left ventricle
Increased volume and pressure of left ventricle
Atrial fibrillation and dysrhythmia-induced thrombi
Decreased blood flow can cause decreased cardiac output (CO) leading to lightheadedness, fainting, chest pain
Decreased blood flow to the rest of the body and brain
Four types2
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