Zwężenie mitralne
Zapobieganie i profilaktyka
Profilaktyka zwężenia zastawki mitralnej koncentruje się przede wszystkim na zapobieganiu gorączce reumatycznej, będącej główną przyczyną tej wady. Kluczowe jest wczesne rozpoznanie i leczenie infekcji paciorkowcowych, zwłaszcza anginy paciorkowcowej, z zastosowaniem pełnej kuracji antybiotykowej, najczęściej penicyliną. U pacjentów po przebytym epizodzie gorączki reumatycznej stosuje się profilaktykę wtórną, polegającą na długotrwałej antybiotykoterapii przeciwko paciorkowcom grupy A, z podawaniem antybiotyków co 3 tygodnie w sytuacjach wysokiego ryzyka. Leczenie przeciwzakrzepowe, oparte na antagonistach witaminy K, jest wskazane u chorych ze zwężeniem mitralnym z migotaniem przedsionków, przebytym incydentem zatorowym, obecnością skrzepliny w lewym przedsionku, stanami nadkrzepliwości lub nadciśnieniem tętniczym, aby zapobiec powikłaniom zakrzepowo-zatorowym.
- Zapobieganie zwężenia mitralnego
- Profilaktyka gorączki reumatycznej
- Profilaktyka wtórna gorączki reumatycznej
- Profilaktyka przeciwzakrzepowa
- Profilaktyka infekcyjnego zapalenia wsierdzia
- Zdrowy styl życia
- Regularne badania kontrolne
- Interwencje we wczesnym stadium choroby
- Podsumowanie profilaktyki zwężenia mitralnego
Zapobieganie zwężenia mitralnego
Najskuteczniejszym sposobem zapobiegania zwężeniu mitralnemu jest przede wszystkim profilaktyka jego głównej przyczyny – gorączki reumatycznej. Skuteczna prewencja zwężenia zastawki mitralnej obejmuje także zapobieganie infekcyjnemu zapaleniu wsierdzia oraz zdrowy styl życia, który może opóźnić progresję już istniejącej wady.12
Profilaktyka gorączki reumatycznej
Gorączka reumatyczna stanowi najczęstszą przyczynę zwężenia zastawki mitralnej. Dlatego podstawową metodą zapobiegania jest wczesne rozpoznawanie i leczenie infekcji paciorkowcowych, które mogą prowadzić do gorączki reumatycznej.34 Profilaktyka obejmuje:
- Szybką diagnostykę i leczenie anginy paciorkowcowej – nieleczone infekcje gardła wywołane przez paciorkowce grupy A mogą prowadzić do gorączki reumatycznej5
- Przyjmowanie pełnej kuracji antybiotykowej w przypadku zakażenia paciorkowcowego – najczęściej stosuje się penicylinę6
- Regularne badania kontrolne u pacjentów z chorobą reumatyczną serca7
Profilaktyka wtórna gorączki reumatycznej
U pacjentów, którzy przebyli gorączkę reumatyczną, stosuje się profilaktykę wtórną, aby zapobiec nawrotom choroby i dalszemu uszkodzeniu zastawki mitralnej.89 Obejmuje ona:
- Długotrwałą profilaktykę antybiotykową przeciwko paciorkowcom grupy A – zapobiega nawrotom gorączki reumatycznej i ogranicza uszkodzenia zastawki10
- Czas trwania profilaktyki zależy od liczby przebytych incydentów, czasu od ostatniego epizodu, ryzyka ekspozycji na infekcje paciorkowcowe, wieku pacjenta oraz obecności zajęcia serca11
- W sytuacjach wysokiego ryzyka zaleca się podawanie antybiotyków co 3 tygodnie12
Profilaktyka przeciwzakrzepowa
Leczenie przeciwzakrzepowe odgrywa kluczową rolę w zapobieganiu powikłaniom zwężenia mitralnego, szczególnie zakrzepom w lewym przedsionku i incydentom zatorowym.13 Wskazania do antykoagulacji obejmują:
- Migotanie przedsionków (obecne lub przebyte)14
- Przebyty incydent zatorowy15
- Obecność skrzepliny w lewym przedsionku16
- Stany nadkrzepliwości17
- Nadciśnienie tętnicze18
Do leczenia przeciwzakrzepowego zaleca się antagonistów witaminy K, a nie bezpośrednie doustne antykoagulanty (DOAC).19 Profilaktyka przeciwzakrzepowa jest szczególnie istotna u pacjentów ze zwężeniem mitralnym, ponieważ są oni narażeni na zwiększone ryzyko powikłań zakrzepowo-zatorowych.20
Profilaktyka infekcyjnego zapalenia wsierdzia
Pacjenci ze zwężeniem mitralnym są narażeni na ryzyko rozwoju infekcyjnego zapalenia wsierdzia. Obecne wytyczne dotyczące profilaktyki przeciwbakteryjnej uległy jednak zmianie w ostatnich latach:2122
- Profilaktyka antybiotykowa przed zabiegami stomatologicznymi i niektórymi operacjami nie jest już rutynowo zalecana u wszystkich pacjentów ze zwężeniem mitralnym23
- Profilaktyka antybiotykowa jest nadal wskazana u pacjentów z protezą zastawkową2425
- Pacjenci z określonymi wrodzonymi wadami serca, po przebytym infekcyjnym zapaleniu wsierdzia lub z problemami zastawkowymi po przeszczepie serca również wymagają profilaktyki antybiotykowej26
Ważne jest, aby zawsze informować lekarza i stomatologa o historii choroby zastawkowej lub wrodzonej wady serca przed jakimkolwiek leczeniem.27
Zdrowy styl życia
Choć nie wszystkie czynniki ryzyka zwężenia mitralnego można modyfikować, zdrowy styl życia może opóźnić progresję choroby i zmniejszyć ryzyko powikłań:2829
- Regularna aktywność fizyczna zgodna z wytycznymi dla osób z chorobami serca30
- Dieta zdrowa dla serca, bogata w świeże owoce i warzywa, z niską zawartością soli3132
- Utrzymywanie prawidłowej masy ciała33
- Kontrola ciśnienia tętniczego i cholesterolu3435
- Niepalenie tytoniu i niestosowanie produktów tytoniowych3637
- Ograniczenie lub unikanie kofeiny i alkoholu38
- Niestosowanie narkotyków, szczególnie dożylnych, które zwiększają ryzyko infekcji zastawek serca39
Regularne badania kontrolne
Wczesne wykrycie i monitorowanie zwężenia mitralnego jest kluczowe dla zapobiegania powikłaniom:4041
- Coroczne badania fizykalne, w tym osłuchanie serca przez lekarza42
- Regularne badania stomatologiczne i dbanie o higienę jamy ustnej4344
- Informowanie lekarza o zauważonych zmianach w rytmie serca45
- Regularne badania kardiologiczne dla osób z grupy podwyższonego ryzyka46
Interwencje we wczesnym stadium choroby
U pacjentów bezobjawowych ze zwężeniem mitralnym interwencje są ukierunkowane na zmniejszenie ryzyka powikłań i opóźnienie wystąpienia objawów:47
- Przezskórna balonowa komisurotomia mitralna jest zalecana u bezobjawowych pacjentów z ciężkim zwężeniem mitralnym, którzy mają anatomię zastawki sprzyjającą tej procedurze i są obciążeni wysokim ryzykiem zdarzeń zakrzepowo-zatorowych lub dekompensacji hemodynamicznej48
- Leki przeciwzapalne do zmniejszenia stanu zapalnego zastawki49
- Wczesne leczenie może potencjalnie zapobiec niewydolności serca50
Nowe podejścia farmakologiczne są również badane, jak na przykład leki stosowane w leczeniu reumatoidalnego zapalenia stawów, które mogą mieć potencjał w powstrzymaniu zwapnienia zastawek serca poprzez blokowanie kadheryny-11 (CDH-11) na powierzchni komórek.51
Podsumowanie profilaktyki zwężenia mitralnego
Skuteczna profilaktyka zwężenia mitralnego opiera się na kilku kluczowych elementach:5253
- Zapobieganie gorączce reumatycznej poprzez wczesne rozpoznawanie i leczenie infekcji paciorkowcowych54
- Stosowanie profilaktyki wtórnej u pacjentów po przebytej gorączce reumatycznej55
- Antykoagulacja u pacjentów z czynnikami ryzyka powikłań zakrzepowo-zatorowych56
- Selektywna profilaktyka antybiotykowa przed procedurami inwazyjnymi u wybranych pacjentów57
- Zdrowy styl życia i kontrola chorób współistniejących58
- Regularne badania kontrolne i monitorowanie czynności serca59
Należy pamiętać, że wrodzonego zwężenia mitralnego nie można zapobiec, a w przypadku zwężenia związanego z wiekiem można jedynie opóźnić jego progresję poprzez zdrowy styl życia.6061 Jednak większość przypadków zwężenia mitralnego związanego z gorączką reumatyczną można skutecznie zapobiec poprzez wczesne i odpowiednie leczenie infekcji paciorkowcowych.62
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Materiały źródłowe
- #1 Mitral stenosis prevention – wikidochttps://www.wikidoc.org/index.php/Mitral_stenosis_prevention
Effective measures for the primary prevention of mitral stenosis include preventing of endocarditis and decreasing new patients of rheumatic fever. […] Effective measures for the primary prevention of rheumatic fever include reducing exposure to Group A beta-hemolytic streptococci and antibiotic prophylaxis for streptococcal pharyngitis. […] Most streptococcal pharyngitis, when treated with appropriate antibiotics, prevents acute rheumatic fever.
- #2 Mitral valve stenosis – Augusta HealthSearchClose SearchSearch IconSearch IconClose Search IconMobile Menu IconMobile Menu Close IconInstagramFacebookTwitterYoutubehttps://www.augustahealth.com/disease/mitral-valve-stenosis/
The best way to prevent mitral valve stenosis is to prevent its most common cause, rheumatic fever. You can do this by making sure you and your children see your doctor for sore throats. Untreated strep throat infections can develop into rheumatic fever. Fortunately, strep throat is usually easily treated with antibiotics.
- #3 Mitral valve stenosis | Health Library | Memorial Health Systemhttps://www.mhsystem.org/health-library/con-20310183/
Rheumatic fever is the most common cause of mitral valve stenosis. So the best way to prevent mitral valve stenosis is to prevent rheumatic fever. You can do this by making sure you and your children see a healthcare professional for sore throats. Untreated strep throat infections can develop into rheumatic fever. Strep throat is usually easily treated with antibiotics.
- #4 Mitral Valve Stenosis: Causes, Symptoms, Treatments, and Morehttps://resources.healthgrades.com/right-care/heart-health/mitral-valve-stenosis
Since rheumatic fever is the leading cause of mitral valve stenosis, the best way to prevent it is to treat strep throat and scarlet fever early. Doctors can administer antibiotics, like a benzathine penicillin injection, to help the body clear the infection. […] You can also take steps to prevent complications of mitral valve stenosis by lowering your blood pressure through diet and exercise.
- #5 Mitral Valve Stenosis: Causes, Symptoms, Treatments, and Morehttps://resources.healthgrades.com/right-care/heart-health/mitral-valve-stenosis
Since rheumatic fever is the leading cause of mitral valve stenosis, the best way to prevent it is to treat strep throat and scarlet fever early. Doctors can administer antibiotics, like a benzathine penicillin injection, to help the body clear the infection. […] You can also take steps to prevent complications of mitral valve stenosis by lowering your blood pressure through diet and exercise.
- #6 Aortic Valve Stenosis: Symptoms, Causes, Diagnosis, Treatmenthttps://www.webmd.com/heart-disease/aortic-valve-stenosis
You cant always stop aortic valve stenosis from happening. For instance, theres nothing you can do about a heart defect you were born with. But high blood pressure, high cholesterol, and obesity are linked to aortic valve stenosis, and those are issues you have some control over. Your doctor can advise you on ways to manage all of these conditions. […] Good dental hygiene also helps. Serious gum disease may be linked to heart inflammation. […] And if you ever have strep throat, be sure to treat it with a full round of antibiotics to prevent it from becoming rheumatic fever. If you get rheumatic fever, it can also be treated with antibiotics. […] The better you can manage some of these issues and the earlier you act on your symptoms, the lower are your chances of developing valve problems.
- #7https://continentalhospitals.com/diseases/mitral-valve-stenosis/
Preventing mitral valve stenosis involves managing conditions that could lead to the narrowing of the valve. Here are some strategies: […] Rheumatic Fever Prevention: Since rheumatic fever is a leading cause of mitral valve stenosis, preventing this condition is key. This involves early diagnosis and treatment of streptococcal throat infections with antibiotics. […] Regular Medical Check-ups: Regular check-ups with a healthcare provider can help monitor heart health and catch any issues early, including mitral valve stenosis. […] Healthy Lifestyle Choices: Maintaining a healthy lifestyle can reduce the risk of conditions that can lead to mitral valve stenosis, such as high blood pressure, high cholesterol, and obesity. This includes eating a balanced diet, exercising regularly, avoiding smoking, and limiting alcohol intake.
- #8 Mitral Stenosis Treatment & Management: Medical Care, Surgical Care, Consultationshttps://emedicine.medscape.com/article/155724-treatment
The goal of medical treatment for mitral stenosis is to reduce recurrence of rheumatic fever, provide prophylaxis for infective endocarditis, reduce symptoms of pulmonary congestion (eg, orthopnea, paroxysmal nocturnal dyspnea), control the ventricular rate if atrial fibrillation is present, and prevent thromboembolic complications. […] Because rheumatic fever is the primary cause of mitral stenosis, secondary prophylaxis against group A beta-hemolytic streptococci (GAS) is recommended. […] Duration of prophylaxis depends on the number of previous attacks, the time elapsed since the last attack, the risk of exposure to GAS infections, the age of the patient, and the presence or absence of cardiac involvement. […] For secondary prevention of rheumatic fever and for infective endocarditis prophylaxis, see Medical Care. […] Primary prevention of acute rheumatic fever is summarized in Table 3 below. […] In high-risk situations, administration every 3 weeks is justified and recommended.
- #9 Mitral Stenosis Topic Reviewhttps://www.healio.com/cardiology/learn-the-heart/cardiology-review/topic-reviews/mitral-stenosis
The initial treatment of mitral stenosis relies on the prevention or early recognition of rheumatic heart disease. Prophylactic penicillin treatment for patients known to have rheumatic heart disease successfully reduces exacerbations and will limit the damage done to the mitral valve. […] Anticoagulation is of great importance to prevent the formation of a left atrial thrombus and embolic events. Even in the absence of atrial fibrillation, patients with certain risk factors including hypertension or hypercoagulable states should be anticoagulated. […] Antibiotic prophylaxis before dental procedures and certain surgeries is no longer recommended to prevent bacterial endocarditis unless a prosthetic valve is present.
- #10 Mitral Stenosis Topic Reviewhttps://www.healio.com/cardiology/learn-the-heart/cardiology-review/topic-reviews/mitral-stenosis
The initial treatment of mitral stenosis relies on the prevention or early recognition of rheumatic heart disease. Prophylactic penicillin treatment for patients known to have rheumatic heart disease successfully reduces exacerbations and will limit the damage done to the mitral valve. […] Anticoagulation is of great importance to prevent the formation of a left atrial thrombus and embolic events. Even in the absence of atrial fibrillation, patients with certain risk factors including hypertension or hypercoagulable states should be anticoagulated. […] Antibiotic prophylaxis before dental procedures and certain surgeries is no longer recommended to prevent bacterial endocarditis unless a prosthetic valve is present.
- #11 Mitral Stenosis Treatment & Management: Medical Care, Surgical Care, Consultationshttps://emedicine.medscape.com/article/155724-treatment
The goal of medical treatment for mitral stenosis is to reduce recurrence of rheumatic fever, provide prophylaxis for infective endocarditis, reduce symptoms of pulmonary congestion (eg, orthopnea, paroxysmal nocturnal dyspnea), control the ventricular rate if atrial fibrillation is present, and prevent thromboembolic complications. […] Because rheumatic fever is the primary cause of mitral stenosis, secondary prophylaxis against group A beta-hemolytic streptococci (GAS) is recommended. […] Duration of prophylaxis depends on the number of previous attacks, the time elapsed since the last attack, the risk of exposure to GAS infections, the age of the patient, and the presence or absence of cardiac involvement. […] For secondary prevention of rheumatic fever and for infective endocarditis prophylaxis, see Medical Care. […] Primary prevention of acute rheumatic fever is summarized in Table 3 below. […] In high-risk situations, administration every 3 weeks is justified and recommended.
- #12 Mitral Stenosis Treatment & Management: Medical Care, Surgical Care, Consultationshttps://emedicine.medscape.com/article/155724-treatment
The goal of medical treatment for mitral stenosis is to reduce recurrence of rheumatic fever, provide prophylaxis for infective endocarditis, reduce symptoms of pulmonary congestion (eg, orthopnea, paroxysmal nocturnal dyspnea), control the ventricular rate if atrial fibrillation is present, and prevent thromboembolic complications. […] Because rheumatic fever is the primary cause of mitral stenosis, secondary prophylaxis against group A beta-hemolytic streptococci (GAS) is recommended. […] Duration of prophylaxis depends on the number of previous attacks, the time elapsed since the last attack, the risk of exposure to GAS infections, the age of the patient, and the presence or absence of cardiac involvement. […] For secondary prevention of rheumatic fever and for infective endocarditis prophylaxis, see Medical Care. […] Primary prevention of acute rheumatic fever is summarized in Table 3 below. […] In high-risk situations, administration every 3 weeks is justified and recommended.
- #13 Mitral Stenosis Topic Reviewhttps://www.healio.com/cardiology/learn-the-heart/cardiology-review/topic-reviews/mitral-stenosis
The initial treatment of mitral stenosis relies on the prevention or early recognition of rheumatic heart disease. Prophylactic penicillin treatment for patients known to have rheumatic heart disease successfully reduces exacerbations and will limit the damage done to the mitral valve. […] Anticoagulation is of great importance to prevent the formation of a left atrial thrombus and embolic events. Even in the absence of atrial fibrillation, patients with certain risk factors including hypertension or hypercoagulable states should be anticoagulated. […] Antibiotic prophylaxis before dental procedures and certain surgeries is no longer recommended to prevent bacterial endocarditis unless a prosthetic valve is present.
- #14 Mitral Stenosis – Cardiovascular Disorders – Merck Manual Professional Editionhttps://www.merckmanuals.com/professional/cardiovascular-disorders/valvular-disorders/mitral-stenosis
Asymptomatic patients with mitral stenosis require no treatment other than appropriate prophylaxis against rheumatic fever recurrence. […] Anticoagulation with a vitamin K antagonist (not a direct-acting oral anticoagulant [DOAC]) is indicated to prevent thromboembolism if patients have or have had atrial fibrillation, embolism, or a left atrial clot. […] Antibiotic prophylaxis against endocarditis is no longer recommended except for patients who have had valve replacement.
- #15 Mitral Stenosis – Cardiovascular Disorders – Merck Manual Professional Editionhttps://www.merckmanuals.com/professional/cardiovascular-disorders/valvular-disorders/mitral-stenosis
Asymptomatic patients with mitral stenosis require no treatment other than appropriate prophylaxis against rheumatic fever recurrence. […] Anticoagulation with a vitamin K antagonist (not a direct-acting oral anticoagulant [DOAC]) is indicated to prevent thromboembolism if patients have or have had atrial fibrillation, embolism, or a left atrial clot. […] Antibiotic prophylaxis against endocarditis is no longer recommended except for patients who have had valve replacement.
- #16 Mitral Stenosis – Cardiovascular Disorders – Merck Manual Professional Editionhttps://www.merckmanuals.com/professional/cardiovascular-disorders/valvular-disorders/mitral-stenosis
Asymptomatic patients with mitral stenosis require no treatment other than appropriate prophylaxis against rheumatic fever recurrence. […] Anticoagulation with a vitamin K antagonist (not a direct-acting oral anticoagulant [DOAC]) is indicated to prevent thromboembolism if patients have or have had atrial fibrillation, embolism, or a left atrial clot. […] Antibiotic prophylaxis against endocarditis is no longer recommended except for patients who have had valve replacement.
- #17 Mitral Stenosis Topic Reviewhttps://www.healio.com/cardiology/learn-the-heart/cardiology-review/topic-reviews/mitral-stenosis
The initial treatment of mitral stenosis relies on the prevention or early recognition of rheumatic heart disease. Prophylactic penicillin treatment for patients known to have rheumatic heart disease successfully reduces exacerbations and will limit the damage done to the mitral valve. […] Anticoagulation is of great importance to prevent the formation of a left atrial thrombus and embolic events. Even in the absence of atrial fibrillation, patients with certain risk factors including hypertension or hypercoagulable states should be anticoagulated. […] Antibiotic prophylaxis before dental procedures and certain surgeries is no longer recommended to prevent bacterial endocarditis unless a prosthetic valve is present.
- #18 Mitral Stenosis Topic Reviewhttps://www.healio.com/cardiology/learn-the-heart/cardiology-review/topic-reviews/mitral-stenosis
The initial treatment of mitral stenosis relies on the prevention or early recognition of rheumatic heart disease. Prophylactic penicillin treatment for patients known to have rheumatic heart disease successfully reduces exacerbations and will limit the damage done to the mitral valve. […] Anticoagulation is of great importance to prevent the formation of a left atrial thrombus and embolic events. Even in the absence of atrial fibrillation, patients with certain risk factors including hypertension or hypercoagulable states should be anticoagulated. […] Antibiotic prophylaxis before dental procedures and certain surgeries is no longer recommended to prevent bacterial endocarditis unless a prosthetic valve is present.
- #19 Mitral Stenosis – Cardiovascular Disorders – Merck Manual Professional Editionhttps://www.merckmanuals.com/professional/cardiovascular-disorders/valvular-disorders/mitral-stenosis
Asymptomatic patients with mitral stenosis require no treatment other than appropriate prophylaxis against rheumatic fever recurrence. […] Anticoagulation with a vitamin K antagonist (not a direct-acting oral anticoagulant [DOAC]) is indicated to prevent thromboembolism if patients have or have had atrial fibrillation, embolism, or a left atrial clot. […] Antibiotic prophylaxis against endocarditis is no longer recommended except for patients who have had valve replacement.
- #20 Timing of Intervention in Asymptomatic Patients With Valvular Heart Diseasehttps://www.acc.org/latest-in-cardiology/ten-points-to-remember/2020/09/14/11/40/timing-of-intervention-in-asymptomatic-patients
Because asymptomatic MS is associated with low mortality, intervention in asymptomatic MS is aimed at reducing the risk of complications (predominantly thromboembolic events) and delaying symptom onset. […] Current guidelines recommend intervention for asymptomatic patients with MS only in the form of percutaneous mitral balloon commissurotomy. […] Intervention in asymptomatic patients with severe MS will remain restricted to rheumatic MS with anatomy favorable for percutaneous balloon commissurotomy among patients who are at high risk of thromboembolic events or hemodynamic decompensation.
- #21 Mitral stenosis: MedlinePlus Medical EncyclopediaLockhttps://medlineplus.gov/ency/article/000175.htm
People with abnormal or damaged heart valves are at risk for an infection called endocarditis. Anything that causes bacteria to get into your bloodstream can lead to this infection. Steps to avoid this problem include: […] Always tell your provider and dentist if you have a history of heart valve disease or congenital heart disease before treatment. Some people may need antibiotics before dental procedures or surgery.
- #22 Mitral Stenosis – Cardiovascular Disorders – Merck Manual Professional Editionhttps://www.merckmanuals.com/professional/cardiovascular-disorders/valvular-disorders/mitral-stenosis
Asymptomatic patients with mitral stenosis require no treatment other than appropriate prophylaxis against rheumatic fever recurrence. […] Anticoagulation with a vitamin K antagonist (not a direct-acting oral anticoagulant [DOAC]) is indicated to prevent thromboembolism if patients have or have had atrial fibrillation, embolism, or a left atrial clot. […] Antibiotic prophylaxis against endocarditis is no longer recommended except for patients who have had valve replacement.
- #23 Mitral Stenosis Topic Reviewhttps://www.healio.com/cardiology/learn-the-heart/cardiology-review/topic-reviews/mitral-stenosis
The initial treatment of mitral stenosis relies on the prevention or early recognition of rheumatic heart disease. Prophylactic penicillin treatment for patients known to have rheumatic heart disease successfully reduces exacerbations and will limit the damage done to the mitral valve. […] Anticoagulation is of great importance to prevent the formation of a left atrial thrombus and embolic events. Even in the absence of atrial fibrillation, patients with certain risk factors including hypertension or hypercoagulable states should be anticoagulated. […] Antibiotic prophylaxis before dental procedures and certain surgeries is no longer recommended to prevent bacterial endocarditis unless a prosthetic valve is present.
- #24 Mitral Stenosis – Cardiovascular Disorders – Merck Manual Professional Editionhttps://www.merckmanuals.com/professional/cardiovascular-disorders/valvular-disorders/mitral-stenosis
Asymptomatic patients with mitral stenosis require no treatment other than appropriate prophylaxis against rheumatic fever recurrence. […] Anticoagulation with a vitamin K antagonist (not a direct-acting oral anticoagulant [DOAC]) is indicated to prevent thromboembolism if patients have or have had atrial fibrillation, embolism, or a left atrial clot. […] Antibiotic prophylaxis against endocarditis is no longer recommended except for patients who have had valve replacement.
- #25 Valvular Heart Diseasehttps://mydoctor.kaiserpermanente.org/mas/structured-content/Condition_Valvular_Heart_Disease_-_Cardiology.xml?co=/regions/mas
You can lower your risk for valvular heart disease by following these guidelines. […] Treat strep throat promptly. Contact us if you have strep throat symptoms, such as a red and painful throat, fever, or white spots on your tonsils. If we prescribe antibiotics, please take all your medication as directed. […] Practice good dental hygiene. Brush and floss your teeth every day. Have your teeth cleaned at the dentist’s office regularly. Preventing bacteria buildup on your teeth and gums reduces your risk of heart valve infection. […] Take antibiotics when recommended. We may recommend antibiotics before specific dental or surgical procedures if you are at risk for endocarditis (infection of the heart valve) and have: An artificial heart valve. Specific congenital (present at birth) heart defects or partially repaired congenital defects. A history of infective endocarditis. Valve problems after a heart transplant.
- #26 Valvular Heart Diseasehttps://mydoctor.kaiserpermanente.org/mas/structured-content/Condition_Valvular_Heart_Disease_-_Cardiology.xml?co=/regions/mas
You can lower your risk for valvular heart disease by following these guidelines. […] Treat strep throat promptly. Contact us if you have strep throat symptoms, such as a red and painful throat, fever, or white spots on your tonsils. If we prescribe antibiotics, please take all your medication as directed. […] Practice good dental hygiene. Brush and floss your teeth every day. Have your teeth cleaned at the dentist’s office regularly. Preventing bacteria buildup on your teeth and gums reduces your risk of heart valve infection. […] Take antibiotics when recommended. We may recommend antibiotics before specific dental or surgical procedures if you are at risk for endocarditis (infection of the heart valve) and have: An artificial heart valve. Specific congenital (present at birth) heart defects or partially repaired congenital defects. A history of infective endocarditis. Valve problems after a heart transplant.
- #27 Mitral stenosis: MedlinePlus Medical EncyclopediaLockhttps://medlineplus.gov/ency/article/000175.htm
People with abnormal or damaged heart valves are at risk for an infection called endocarditis. Anything that causes bacteria to get into your bloodstream can lead to this infection. Steps to avoid this problem include: […] Always tell your provider and dentist if you have a history of heart valve disease or congenital heart disease before treatment. Some people may need antibiotics before dental procedures or surgery.
- #28 Mitral Valve Stenosis: Symptoms & Treatmenthttps://my.clevelandclinic.org/health/diseases/21903-mitral-valve-stenosis
In many cases, yes. Treating bacterial infections can prevent many cases of mitral valve stenosis. Most cases happen because of unrecognized and therefore untreated bacterial infections. […] You usually cant prevent mitral stenosis that happens because of aging. However, you may be able to delay when it happens by exercising regularly, maintaining a weight thats healthy for you, eating a healthy diet and getting an annual checkup. […] You cant prevent the kind of mitral stenosis that youre born with.
- #29 Heart Valve Disease: Symptoms & Treatmenthttps://my.clevelandclinic.org/health/diseases/17639-what-you-need-to-know-heart-valve-disease
How can I reduce my risk of heart valve disease? […] Although you cant change some risk factors, like growing older, there are things you can do that may reduce your risk of heart valve disease. These include: […] Getting treatment quickly for infections […] Being physically active […] Eating heart-healthy foods […] Staying at a weight thats healthy for you […] Continuing to take medicine for high blood pressure and/or high cholesterol if you have those conditions […] Not using tobacco products […] Not using recreational drugs, especially IV drugs, which increase your risk for heart valve infection. […] If you have heart valve disease, ask your healthcare provider about the increased risk of getting infective endocarditis. This infection can damage or destroy your heart valves and can be fatal.
- #30 About Heart Valve Disease | Heart Disease | CDChttps://www.cdc.gov/heart-disease/about/heart-valve-disease.html
People may help to reduce their risk for heart valve disease by: […] Making heart-healthy choices by: […] Choosing heart-healthy foods, such as fresh fruits and vegetables. […] Following CDC physical activity guidelines for heart health. […] Managing stress. […] Getting to know your heart health by: […] Getting annual physical checkups, including having a health care professional listen to your heart with a stethoscope. […] Letting your health care team know if you have noticed changes in your heartbeat. […] Taking care of your overall health by: […] Having a good daily oral hygiene routine and getting regular dental checkups to reduce risk of heart infection. […] Getting treatment for respiratory infections such as strep throat. […] Taking antibiotics as instructed to prevent infection (such as when they are prescribed before surgery or dental procedures).
- #31 Mitral valve disease: Symptoms, causes, treatment, and morehttps://www.medicalnewstoday.com/articles/mitral-valve-disease
Mitral valve disease is when the hearts mitral valve stops functioning correctly. […] A person may be born with heart problems that can lead to mitral valve disease or develop the condition later in life. However, there are several ways a person may be able to avoid mitral valve disease, including: […] taking antibiotics to control episodes of rheumatic fever […] limiting or avoiding caffeine and alcohol […] quitting smoking […] following a healthy, low sodium diet […] maintaining a moderate weight […] attending regular health screenings. […] A doctor may recommend healthy lifestyle changes, medications, such as beta-blockers, or heart surgery to repair or replace the mitral valve as forms of prevention and treatment for mitral valve disease.
- #32 Valvular Heart Diseasehttps://mydoctor.kaiserpermanente.org/mas/structured-content/Condition_Valvular_Heart_Disease_-_Cardiology.xml?co=/regions/mas
Control your cholesterol and risks for heart disease. If you use tobacco or marijuana, quit. It is one of the best things you can do for your health. We have resources to help you quit. […] Also, follow these healthy living guidelines: Exercise regularly. Take cholesterol-lowering medicines, if necessary. Eat a heart-healthy, low-fat diet. Control your blood pressure. Maintain your ideal weight if possible. Manage your blood sugar if you have diabetes.
- #33 Heart Valve Disease: Symptoms & Treatmenthttps://my.clevelandclinic.org/health/diseases/17639-what-you-need-to-know-heart-valve-disease
How can I reduce my risk of heart valve disease? […] Although you cant change some risk factors, like growing older, there are things you can do that may reduce your risk of heart valve disease. These include: […] Getting treatment quickly for infections […] Being physically active […] Eating heart-healthy foods […] Staying at a weight thats healthy for you […] Continuing to take medicine for high blood pressure and/or high cholesterol if you have those conditions […] Not using tobacco products […] Not using recreational drugs, especially IV drugs, which increase your risk for heart valve infection. […] If you have heart valve disease, ask your healthcare provider about the increased risk of getting infective endocarditis. This infection can damage or destroy your heart valves and can be fatal.
- #34 Mitral Stenosis – What You Need to Knowhttps://www.drugs.com/cg/mitral-stenosis.html
Mitral stenosis is a condition that makes your mitral valve narrow and stiff. […] Manage other health conditions. High blood pressure and high cholesterol levels can worsen mitral stenosis. Ask your healthcare provider for more information on managing these or other health conditions. […] Get treatment for strep throat. Strep throat that is not treated can cause rheumatic fever.
- #35 Valvular Heart Diseasehttps://mydoctor.kaiserpermanente.org/mas/structured-content/Condition_Valvular_Heart_Disease_-_Cardiology.xml?co=/regions/mas
Control your cholesterol and risks for heart disease. If you use tobacco or marijuana, quit. It is one of the best things you can do for your health. We have resources to help you quit. […] Also, follow these healthy living guidelines: Exercise regularly. Take cholesterol-lowering medicines, if necessary. Eat a heart-healthy, low-fat diet. Control your blood pressure. Maintain your ideal weight if possible. Manage your blood sugar if you have diabetes.
- #36 Heart Valve Disease: Symptoms & Treatmenthttps://my.clevelandclinic.org/health/diseases/17639-what-you-need-to-know-heart-valve-disease
How can I reduce my risk of heart valve disease? […] Although you cant change some risk factors, like growing older, there are things you can do that may reduce your risk of heart valve disease. These include: […] Getting treatment quickly for infections […] Being physically active […] Eating heart-healthy foods […] Staying at a weight thats healthy for you […] Continuing to take medicine for high blood pressure and/or high cholesterol if you have those conditions […] Not using tobacco products […] Not using recreational drugs, especially IV drugs, which increase your risk for heart valve infection. […] If you have heart valve disease, ask your healthcare provider about the increased risk of getting infective endocarditis. This infection can damage or destroy your heart valves and can be fatal.
- #37 Heart Valve Disease | University of Ottawa Heart Institutehttps://www.ottawaheart.ca/heart-condition/heart-valve-disease
Some risk factors for developing heart valve disease are the same as other heart conditions and can be reduced with lifestyle changes or with early detection and medication. To prevent heart disease in general, it is important to: […] Quit smoking […] Get your cholesterol checked and under control […] Eat a healthy diet […] Exercise regularly […] Lose weight if you are overweight.
- #38 Mitral valve disease: Symptoms, causes, treatment, and morehttps://www.medicalnewstoday.com/articles/mitral-valve-disease
Mitral valve disease is when the hearts mitral valve stops functioning correctly. […] A person may be born with heart problems that can lead to mitral valve disease or develop the condition later in life. However, there are several ways a person may be able to avoid mitral valve disease, including: […] taking antibiotics to control episodes of rheumatic fever […] limiting or avoiding caffeine and alcohol […] quitting smoking […] following a healthy, low sodium diet […] maintaining a moderate weight […] attending regular health screenings. […] A doctor may recommend healthy lifestyle changes, medications, such as beta-blockers, or heart surgery to repair or replace the mitral valve as forms of prevention and treatment for mitral valve disease.
- #39 Heart Valve Disease: Symptoms & Treatmenthttps://my.clevelandclinic.org/health/diseases/17639-what-you-need-to-know-heart-valve-disease
How can I reduce my risk of heart valve disease? […] Although you cant change some risk factors, like growing older, there are things you can do that may reduce your risk of heart valve disease. These include: […] Getting treatment quickly for infections […] Being physically active […] Eating heart-healthy foods […] Staying at a weight thats healthy for you […] Continuing to take medicine for high blood pressure and/or high cholesterol if you have those conditions […] Not using tobacco products […] Not using recreational drugs, especially IV drugs, which increase your risk for heart valve infection. […] If you have heart valve disease, ask your healthcare provider about the increased risk of getting infective endocarditis. This infection can damage or destroy your heart valves and can be fatal.
- #40 About Heart Valve Disease | Heart Disease | CDChttps://www.cdc.gov/heart-disease/about/heart-valve-disease.html
People may help to reduce their risk for heart valve disease by: […] Making heart-healthy choices by: […] Choosing heart-healthy foods, such as fresh fruits and vegetables. […] Following CDC physical activity guidelines for heart health. […] Managing stress. […] Getting to know your heart health by: […] Getting annual physical checkups, including having a health care professional listen to your heart with a stethoscope. […] Letting your health care team know if you have noticed changes in your heartbeat. […] Taking care of your overall health by: […] Having a good daily oral hygiene routine and getting regular dental checkups to reduce risk of heart infection. […] Getting treatment for respiratory infections such as strep throat. […] Taking antibiotics as instructed to prevent infection (such as when they are prescribed before surgery or dental procedures).
- #41https://continentalhospitals.com/diseases/mitral-valve-stenosis/
Preventing mitral valve stenosis involves managing conditions that could lead to the narrowing of the valve. Here are some strategies: […] Rheumatic Fever Prevention: Since rheumatic fever is a leading cause of mitral valve stenosis, preventing this condition is key. This involves early diagnosis and treatment of streptococcal throat infections with antibiotics. […] Regular Medical Check-ups: Regular check-ups with a healthcare provider can help monitor heart health and catch any issues early, including mitral valve stenosis. […] Healthy Lifestyle Choices: Maintaining a healthy lifestyle can reduce the risk of conditions that can lead to mitral valve stenosis, such as high blood pressure, high cholesterol, and obesity. This includes eating a balanced diet, exercising regularly, avoiding smoking, and limiting alcohol intake.
- #42 About Heart Valve Disease | Heart Disease | CDChttps://www.cdc.gov/heart-disease/about/heart-valve-disease.html
People may help to reduce their risk for heart valve disease by: […] Making heart-healthy choices by: […] Choosing heart-healthy foods, such as fresh fruits and vegetables. […] Following CDC physical activity guidelines for heart health. […] Managing stress. […] Getting to know your heart health by: […] Getting annual physical checkups, including having a health care professional listen to your heart with a stethoscope. […] Letting your health care team know if you have noticed changes in your heartbeat. […] Taking care of your overall health by: […] Having a good daily oral hygiene routine and getting regular dental checkups to reduce risk of heart infection. […] Getting treatment for respiratory infections such as strep throat. […] Taking antibiotics as instructed to prevent infection (such as when they are prescribed before surgery or dental procedures).
- #43 About Heart Valve Disease | Heart Disease | CDChttps://www.cdc.gov/heart-disease/about/heart-valve-disease.html
People may help to reduce their risk for heart valve disease by: […] Making heart-healthy choices by: […] Choosing heart-healthy foods, such as fresh fruits and vegetables. […] Following CDC physical activity guidelines for heart health. […] Managing stress. […] Getting to know your heart health by: […] Getting annual physical checkups, including having a health care professional listen to your heart with a stethoscope. […] Letting your health care team know if you have noticed changes in your heartbeat. […] Taking care of your overall health by: […] Having a good daily oral hygiene routine and getting regular dental checkups to reduce risk of heart infection. […] Getting treatment for respiratory infections such as strep throat. […] Taking antibiotics as instructed to prevent infection (such as when they are prescribed before surgery or dental procedures).
- #44 Heart Valve Disease: Symptoms & Treatmenthttps://my.clevelandclinic.org/health/diseases/17639-what-you-need-to-know-heart-valve-disease
To prevent infective endocarditis: […] Tell your medical and dental providers that you have valve disease […] Call your provider if you have symptoms of an infection […] Take good care of your teeth and gums […] Ask your cardiologist if you should take antibiotics before any dental procedures, major or minor surgeries or invasive tests.
- #45 About Heart Valve Disease | Heart Disease | CDChttps://www.cdc.gov/heart-disease/about/heart-valve-disease.html
People may help to reduce their risk for heart valve disease by: […] Making heart-healthy choices by: […] Choosing heart-healthy foods, such as fresh fruits and vegetables. […] Following CDC physical activity guidelines for heart health. […] Managing stress. […] Getting to know your heart health by: […] Getting annual physical checkups, including having a health care professional listen to your heart with a stethoscope. […] Letting your health care team know if you have noticed changes in your heartbeat. […] Taking care of your overall health by: […] Having a good daily oral hygiene routine and getting regular dental checkups to reduce risk of heart infection. […] Getting treatment for respiratory infections such as strep throat. […] Taking antibiotics as instructed to prevent infection (such as when they are prescribed before surgery or dental procedures).
- #46https://continentalhospitals.com/diseases/mitral-valve-stenosis/
Prompt Treatment of Heart Conditions: Treating conditions that can lead to mitral valve stenosis, such as infective endocarditis and congenital heart defects, promptly and effectively can help prevent complications. […] Regular Cardiovascular Screening: For individuals at higher risk due to a family history of heart disease or other risk factors, regular cardiovascular screening can help detect any potential issues early. […] Antibiotic Prophylaxis: Patients with mitral valve stenosis are at an increased risk of developing infective endocarditis, an infection of the heart’s inner lining or valves. Antibiotic prophylaxis may be recommended before certain dental or medical procedures to reduce this risk.
- #47 Timing of Intervention in Asymptomatic Patients With Valvular Heart Diseasehttps://www.acc.org/latest-in-cardiology/ten-points-to-remember/2020/09/14/11/40/timing-of-intervention-in-asymptomatic-patients
Because asymptomatic MS is associated with low mortality, intervention in asymptomatic MS is aimed at reducing the risk of complications (predominantly thromboembolic events) and delaying symptom onset. […] Current guidelines recommend intervention for asymptomatic patients with MS only in the form of percutaneous mitral balloon commissurotomy. […] Intervention in asymptomatic patients with severe MS will remain restricted to rheumatic MS with anatomy favorable for percutaneous balloon commissurotomy among patients who are at high risk of thromboembolic events or hemodynamic decompensation.
- #48 Timing of Intervention in Asymptomatic Patients With Valvular Heart Diseasehttps://www.acc.org/latest-in-cardiology/ten-points-to-remember/2020/09/14/11/40/timing-of-intervention-in-asymptomatic-patients
Because asymptomatic MS is associated with low mortality, intervention in asymptomatic MS is aimed at reducing the risk of complications (predominantly thromboembolic events) and delaying symptom onset. […] Current guidelines recommend intervention for asymptomatic patients with MS only in the form of percutaneous mitral balloon commissurotomy. […] Intervention in asymptomatic patients with severe MS will remain restricted to rheumatic MS with anatomy favorable for percutaneous balloon commissurotomy among patients who are at high risk of thromboembolic events or hemodynamic decompensation.
- #49 Mitral Valve Stenosis | Heart and Vascularhttps://health.ucdavis.edu/conditions/mitral-valve-stenosis
With the care of our experts in structural heart disease, you can get treatment for mitral stenosis and prevent complications like heart failure. […] We detect and treat the disease early with heart valve repair and replacement to potentially prevent heart failure. […] Your physician may prescribe medication(s) to treat your mitral valve stenosis. These include drugs to reduce heart inflammation or prevent rheumatic fever with antibiotics.
- #50 Mitral Valve Stenosis | Heart and Vascularhttps://health.ucdavis.edu/conditions/mitral-valve-stenosis
With the care of our experts in structural heart disease, you can get treatment for mitral stenosis and prevent complications like heart failure. […] We detect and treat the disease early with heart valve repair and replacement to potentially prevent heart failure. […] Your physician may prescribe medication(s) to treat your mitral valve stenosis. These include drugs to reduce heart inflammation or prevent rheumatic fever with antibiotics.
- #51 Drug developed for arthritis could be first to stop heart valve calcification – VUMC Newshttps://news.vumc.org/2017/06/12/drug-developed-for-arthritis-could-be-first-to-stop-heart-valve-calcification/
The rheumatoid arthritis drug, an anti-inflammatory, physically binds to cadherin-11 (CDH-11) on the surface of cells so that they cant bind together. […] We believe there is potential for using this drug at the first sign of valve disease to prevent the progression, Merryman said. You likely cannot reverse the damage, but we believe the drug can prevent it. […] The exciting thing about this drugs potential is that it could allow us to consider a strategy of prevention, as we do with other forms of heart disease like lowering cholesterol or using ACE inhibitors. We dont have any interventions for aortic valve stenosis that slow its progression.
- #52 Mitral stenosis prevention – wikidochttps://www.wikidoc.org/index.php/Mitral_stenosis_prevention
Effective measures for the primary prevention of mitral stenosis include preventing of endocarditis and decreasing new patients of rheumatic fever. […] Effective measures for the primary prevention of rheumatic fever include reducing exposure to Group A beta-hemolytic streptococci and antibiotic prophylaxis for streptococcal pharyngitis. […] Most streptococcal pharyngitis, when treated with appropriate antibiotics, prevents acute rheumatic fever.
- #53 Mitral Stenosis | Doctorhttps://patient.info/doctor/mitral-stenosis-pro
Prevention of rheumatic fever. […] Prevention of endocarditis.
- #54 Mitral Stenosis – The Cardiology Advisorhttps://www.thecardiologyadvisor.com/ddi/mitral-valve-stenosis/
Mitral stenosis due to rheumatic heart disease is typically asymptomatic for decades after the initial episode of rheumatic fever. Indeed, mitral stenosis itself is a complication of rheumatic fever and rheumatic heart disease, so appropriate medical management of Group A streptococcus pharyngitis with antibiotics is an important mode of prevention of the complication of MS. […] Management strategies for mitral stenosis include medical therapies (for example, diuretics and beta blockers for symptomatic relief) and interventions.
- #55 Mitral Stenosis – Cardiovascular Disorders – Merck Manual Professional Editionhttps://www.merckmanuals.com/professional/cardiovascular-disorders/valvular-disorders/mitral-stenosis
Asymptomatic patients with mitral stenosis require no treatment other than appropriate prophylaxis against rheumatic fever recurrence. […] Anticoagulation with a vitamin K antagonist (not a direct-acting oral anticoagulant [DOAC]) is indicated to prevent thromboembolism if patients have or have had atrial fibrillation, embolism, or a left atrial clot. […] Antibiotic prophylaxis against endocarditis is no longer recommended except for patients who have had valve replacement.
- #56 Mitral Stenosis Topic Reviewhttps://www.healio.com/cardiology/learn-the-heart/cardiology-review/topic-reviews/mitral-stenosis
The initial treatment of mitral stenosis relies on the prevention or early recognition of rheumatic heart disease. Prophylactic penicillin treatment for patients known to have rheumatic heart disease successfully reduces exacerbations and will limit the damage done to the mitral valve. […] Anticoagulation is of great importance to prevent the formation of a left atrial thrombus and embolic events. Even in the absence of atrial fibrillation, patients with certain risk factors including hypertension or hypercoagulable states should be anticoagulated. […] Antibiotic prophylaxis before dental procedures and certain surgeries is no longer recommended to prevent bacterial endocarditis unless a prosthetic valve is present.
- #57 Mitral Valve Stenosis – Hope For Heartshttps://hopeforhearts.com.au/structural-heart-disease/mitral-valve-stenosis/
Medical management also includes the prevention of endocarditis, which can be considered high risk in patients undergoing dental procedures involving the mucosa and gingival tissue. These patients should be considered for prophylactic antibiotic coverage. […] Patients with mitral valve stenosis may require a combination of medical and surgical management as the condition progresses and symptoms are present.
- #58 Heart Valve Disease: Symptoms & Treatmenthttps://my.clevelandclinic.org/health/diseases/17639-what-you-need-to-know-heart-valve-disease
How can I reduce my risk of heart valve disease? […] Although you cant change some risk factors, like growing older, there are things you can do that may reduce your risk of heart valve disease. These include: […] Getting treatment quickly for infections […] Being physically active […] Eating heart-healthy foods […] Staying at a weight thats healthy for you […] Continuing to take medicine for high blood pressure and/or high cholesterol if you have those conditions […] Not using tobacco products […] Not using recreational drugs, especially IV drugs, which increase your risk for heart valve infection. […] If you have heart valve disease, ask your healthcare provider about the increased risk of getting infective endocarditis. This infection can damage or destroy your heart valves and can be fatal.
- #59 About Heart Valve Disease | Heart Disease | CDChttps://www.cdc.gov/heart-disease/about/heart-valve-disease.html
People may help to reduce their risk for heart valve disease by: […] Making heart-healthy choices by: […] Choosing heart-healthy foods, such as fresh fruits and vegetables. […] Following CDC physical activity guidelines for heart health. […] Managing stress. […] Getting to know your heart health by: […] Getting annual physical checkups, including having a health care professional listen to your heart with a stethoscope. […] Letting your health care team know if you have noticed changes in your heartbeat. […] Taking care of your overall health by: […] Having a good daily oral hygiene routine and getting regular dental checkups to reduce risk of heart infection. […] Getting treatment for respiratory infections such as strep throat. […] Taking antibiotics as instructed to prevent infection (such as when they are prescribed before surgery or dental procedures).
- #60 Mitral Valve Stenosis: Symptoms & Treatmenthttps://my.clevelandclinic.org/health/diseases/21903-mitral-valve-stenosis
In many cases, yes. Treating bacterial infections can prevent many cases of mitral valve stenosis. Most cases happen because of unrecognized and therefore untreated bacterial infections. […] You usually cant prevent mitral stenosis that happens because of aging. However, you may be able to delay when it happens by exercising regularly, maintaining a weight thats healthy for you, eating a healthy diet and getting an annual checkup. […] You cant prevent the kind of mitral stenosis that youre born with.
- #61 Mitral Valve Stenosis Symptoms and Treatment | Baptist Healthhttps://www.baptisthealth.com/care-services/conditions-treatments/mitral-valve-stenosis
Most risk factors for mitral valve stenosis cannot be prevented. […] Prompt or incomplete treatment of strep throat or scarlet fever can lead to inflammation and infection of the hearts inner lining, damaging the heart valves. This is a common cause of mitral valve stenosis, but rare in the United States and other developed countries.
- #62 Mitral valve stenosis | Health Library | Memorial Health Systemhttps://www.mhsystem.org/health-library/con-20310183/
Rheumatic fever is the most common cause of mitral valve stenosis. So the best way to prevent mitral valve stenosis is to prevent rheumatic fever. You can do this by making sure you and your children see a healthcare professional for sore throats. Untreated strep throat infections can develop into rheumatic fever. Strep throat is usually easily treated with antibiotics.