This site is intended for healthcare professionals

Sign in
Go to /sign-in page

You can view 5 more pages before signing in

Treatment

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

The management of a patient with mitral stenosis includes the following:

  • prevention of recurrent rheumatic fever:
    • penicillin is given for 5 years after the last attack of rheumatic fever or until the age of 20.

  • anticoagulation:
    • this is to prevent thrombo-embolism.
    • some say should be started before the onset of atrial fibrillation.

  • consider a beta-blocker for adults with moderate to severe mitral stenosis and heart failure (1)

  • diuretics - lessen pulmonary venous pressure.

  • balloon valvuloplasty:
    • best results are obtained when the valve shows commissural fusion, is pliable, is not heavily calcified, and has little or no disease of the subvalvular apparatus

  • surgical mitral valvotomy or valve replacement

NICE state (1):

  • consider transcatheter valvotomy for adults with rheumatic severe* mitral stenosis, if the valve is suitable for this procedure
  • offer surgical mitral valve replacement to adults with rheumatic severe* mitral stenosis if transcatheter valvotomy is unsuitable

* severity of valve disease is defined in line with the British Society of Echocardiography guidelines on the British Heart Foundation's website.

Reference:

  1. NICE (November 2021). Heart valve disease presenting in adults: investigation and management

Related pages

Create an account to add page annotations

Create a free account

Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.

The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

Connect

Copyright 2024 Oxbridge Solutions Limited, a subsidiary of OmniaMed Communications Limited. All rights reserved. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions receives funding from advertising but maintains editorial independence.