Degenerative mitral valve stenosis: Diagnosis and management

Ahmad Al-Taweel, Mohamed Faher Almahmoud, Yasmine Khairandish, Masood Ahmad

Research output: Contribution to journalReview article

Abstract

Mitral stenosis (MS) is a common valvular disease characterized by narrowing of the mitral valve orifice and a reduction in mitral valve area (MVA). While rheumatic MS (RMS) is frequently encountered in young individuals in developing countries, degenerative MS (DMS) is seen in the elderly in developed countries and its prevalence is increasing. DMS is usually a late presentation of mitral annular calcification (MAC). Accurate assessment of MVA in patients with MAC is challenging due to the alterations in the atrial and valvular structures as well as the presence of other comorbidities in this aging population. We will review the epidemiology, etiology, pathophysiology, diagnostic assessment, and management of DMS and compare the findings with RMS. The latest therapeutic approaches, including medical, surgical, and transcatheter valvular interventions, will be discussed.

Original languageEnglish (US)
Pages (from-to)1901-1909
Number of pages9
JournalEchocardiography
Volume36
Issue number10
DOIs
StatePublished - Oct 1 2019

Fingerprint

Mitral Valve Stenosis
Mitral Valve
Developed Countries
Developing Countries
Comorbidity
Epidemiology
Population
Therapeutics

Keywords

  • degenerative mitral stenosis
  • echocardiography
  • mitral annular calcification
  • mitral stenosis
  • valvular disease

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Degenerative mitral valve stenosis : Diagnosis and management. / Al-Taweel, Ahmad; Almahmoud, Mohamed Faher; Khairandish, Yasmine; Ahmad, Masood.

In: Echocardiography, Vol. 36, No. 10, 01.10.2019, p. 1901-1909.

Research output: Contribution to journalReview article

Al-Taweel, A, Almahmoud, MF, Khairandish, Y & Ahmad, M 2019, 'Degenerative mitral valve stenosis: Diagnosis and management', Echocardiography, vol. 36, no. 10, pp. 1901-1909. https://doi.org/10.1111/echo.14495
Al-Taweel, Ahmad ; Almahmoud, Mohamed Faher ; Khairandish, Yasmine ; Ahmad, Masood. / Degenerative mitral valve stenosis : Diagnosis and management. In: Echocardiography. 2019 ; Vol. 36, No. 10. pp. 1901-1909.
@article{19ebca862d6f4a79aa802e4853a27579,
title = "Degenerative mitral valve stenosis: Diagnosis and management",
abstract = "Mitral stenosis (MS) is a common valvular disease characterized by narrowing of the mitral valve orifice and a reduction in mitral valve area (MVA). While rheumatic MS (RMS) is frequently encountered in young individuals in developing countries, degenerative MS (DMS) is seen in the elderly in developed countries and its prevalence is increasing. DMS is usually a late presentation of mitral annular calcification (MAC). Accurate assessment of MVA in patients with MAC is challenging due to the alterations in the atrial and valvular structures as well as the presence of other comorbidities in this aging population. We will review the epidemiology, etiology, pathophysiology, diagnostic assessment, and management of DMS and compare the findings with RMS. The latest therapeutic approaches, including medical, surgical, and transcatheter valvular interventions, will be discussed.",
keywords = "degenerative mitral stenosis, echocardiography, mitral annular calcification, mitral stenosis, valvular disease",
author = "Ahmad Al-Taweel and Almahmoud, {Mohamed Faher} and Yasmine Khairandish and Masood Ahmad",
year = "2019",
month = "10",
day = "1",
doi = "10.1111/echo.14495",
language = "English (US)",
volume = "36",
pages = "1901--1909",
journal = "Echocardiography",
issn = "0742-2822",
publisher = "Wiley-Blackwell",
number = "10",

}

TY - JOUR

T1 - Degenerative mitral valve stenosis

T2 - Diagnosis and management

AU - Al-Taweel, Ahmad

AU - Almahmoud, Mohamed Faher

AU - Khairandish, Yasmine

AU - Ahmad, Masood

PY - 2019/10/1

Y1 - 2019/10/1

N2 - Mitral stenosis (MS) is a common valvular disease characterized by narrowing of the mitral valve orifice and a reduction in mitral valve area (MVA). While rheumatic MS (RMS) is frequently encountered in young individuals in developing countries, degenerative MS (DMS) is seen in the elderly in developed countries and its prevalence is increasing. DMS is usually a late presentation of mitral annular calcification (MAC). Accurate assessment of MVA in patients with MAC is challenging due to the alterations in the atrial and valvular structures as well as the presence of other comorbidities in this aging population. We will review the epidemiology, etiology, pathophysiology, diagnostic assessment, and management of DMS and compare the findings with RMS. The latest therapeutic approaches, including medical, surgical, and transcatheter valvular interventions, will be discussed.

AB - Mitral stenosis (MS) is a common valvular disease characterized by narrowing of the mitral valve orifice and a reduction in mitral valve area (MVA). While rheumatic MS (RMS) is frequently encountered in young individuals in developing countries, degenerative MS (DMS) is seen in the elderly in developed countries and its prevalence is increasing. DMS is usually a late presentation of mitral annular calcification (MAC). Accurate assessment of MVA in patients with MAC is challenging due to the alterations in the atrial and valvular structures as well as the presence of other comorbidities in this aging population. We will review the epidemiology, etiology, pathophysiology, diagnostic assessment, and management of DMS and compare the findings with RMS. The latest therapeutic approaches, including medical, surgical, and transcatheter valvular interventions, will be discussed.

KW - degenerative mitral stenosis

KW - echocardiography

KW - mitral annular calcification

KW - mitral stenosis

KW - valvular disease

UR - http://www.scopus.com/inward/record.url?scp=85073987852&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85073987852&partnerID=8YFLogxK

U2 - 10.1111/echo.14495

DO - 10.1111/echo.14495

M3 - Review article

C2 - 31587368

AN - SCOPUS:85073987852

VL - 36

SP - 1901

EP - 1909

JO - Echocardiography

JF - Echocardiography

SN - 0742-2822

IS - 10

ER -