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Evaluation of the severity of mitral stenosis in patient with pulmonary hypertension: Role of exercise hemodynamics
Author(s) -
Kern Morton J.,
Kim Min,
Yu Jeannie,
Seto Arnold H.
Publication year - 2019
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.28381
Subject(s) - medicine , hemodynamics , cardiology , pulmonary hypertension , stenosis , mitral valve , disease
Dyspnea due to mitral stenosis (MS) and/or pulmonary hypertension (PHT) in patients who may have both conditions presents a challenging diagnostic dilemma. The hemodynamic response to exercise is probably the most helpful method to arrive at the correct diagnosis and treatment algorithm. In this hemodynamic rounds discussion, we evaluated a patient with MS and PHT prior to the decision for mitral valvuloplasty. Key Points Symptoms in patients with mitral stenosis and pulmonary hypertension cannot always be attributed to one pathology. Catheter‐based hemodynamics are often needed to differentiate valve from lung disease. Exercise hemodynamics can clarify the predominant pathology in complex clinical scenarios.