8/10/2011

Could this be Mitral Valve Stenosis..please help!!?

Hi,I did the following:

Could this be Mitral Valve Stenosis..please help!!?My mom has had bad anxiety attacks for the past six monthes soemtimes she gets a flushing sensation go through her body when she has them. They seem to be menstrual cycle related. She was diagnosed with anxiety disorder/clinical depression and has been seeign a phschyatrist, who has her on ativan and zoloft and was saying she is fine, but now he told her to get her heart checked, because she hasnt had anxiety attacks before this, so he wanted to check for Mitral Valve Stenosis. She had a EKG done, which was normal, and got a chest X-ray which we havent got the results for. But i am confused, on WebMD it doesnt even list anxiety attacks as oen of the symptoms, and she has never had any other symptoms of it. Plus she HAS had anxiety issues before, they just werent exactly "attacks" Is it possible she has it?? Wouldnt it have showed up in the EKG?

ralphrepo_01
Sometimes because Mitral stenosis can cause palpitations and shortness of breath, in effect nearly mimicking the symptoms of an anxiety attack, an astute clinician would check for it just to ensure that such a possibility is not being missed. Mitral stenosis, or a narrowing of the passage between the heart's left upper chamber and left lower chamber (from a valve that doesn't fully open) causes pressure to build up in the left upper chamber. Over time, this causes that chamber to become enlarged in order to overcome the extra pressure and still pump blood into the left ventricle (the lower chamber), This is usually (but not always) evident on a cardiogram (EKG) as a small downturned tail end of a P wave in Chest Leads V1 & V2.

A better exam to see if its indeed stenosis is to perform an echocardiogram instead. Good luck.

Ralph

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