The Course of Mitral Stenosis Without Surgery: Ten- And Twenty-Year Perspectives

Article1 April 1960THE COURSE OF MITRAL STENOSIS WITHOUT SURGERY: TEN- AND TWENTY-YEAR PERSPECTIVESJOHN C. ROWE, M.D., EDWARD F. BLAND, M.D., F.A.C.P., HOWARD B. SPRAGUE, M.D., F.A.C.P., PAUL D. WHITE, M.D., M.A.C.P.JOHN C. ROWE, M.D., EDWARD F. BLAND, M.D., F.A.C.P., HOWARD B. SPRAGUE, M.D., F.A.C.P., PAUL D. WHITE, M.D., M.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-52-4-741 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptA decade has elapsed since the introduction of a successful operation for mitral stenosis, and survival curves for this 10-year period are now available. Surprisingly little factual information is at hand, however, as to the comparable course in the presurgical era of those patients treated medically. To supplement the existing data in this respect, and to establish a helpful base line for future reference, we are reporting herewith 10- and 20-year perspectives on the course of mitral stenosis in patients studied in the cardiac clinics and private practice of the three senior authors at the Massachusetts General Hospital and the...Bibliography1. BlandJones EFTD: Rheumatic fever and rheumatic heart disease. A twenty year report on 1000 patients followed since childhood, Circulation 4: 836 (Dec.) 1951. CrossrefMedlineGoogle Scholar2. Grant RT: After-histories for ten years of a thousand men suffering from heart disease, Heart 6: 275-483 (June) 1933. Google Scholar3. Olesen KH: Mitral stenosis, a follow-up of 351 patients, 1955, Ejnar Munksgaard, Copenhagen. Google Scholar4. EllisAbelmanHarken LBWHDE: Selection of patients for mitral and aortic valvuloplasty, Circulation 15: 924, 1957. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication June 1, 1959.Presented at the Third World Congress of Cardiology, September, 1958, Brussels.From the Massachusetts General Hospital and the House of the Good Samaritan, Boston, Massachusetts.†Trainee of the National Heart Institute.Requests for reprints should be addressed to Edward F. Bland, M.D., Massachusetts General Hospital, Boston 14, Massachusetts. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byNovel Oral Anticoagulants in Patients With Atrial Fibrillation and Moderate to Severe Mitral Stenosis: A Systematic ReviewIntervention for Asymptomatic Valvular Heart Disease: Analysis of Recent Data and Implications for the Perioperative EchocardiographerErworbene und angeborene Herzvitien – BegutachtungHeart–Brain Relationship in Stroke2020 Clinical guidelines for Atrial fibrillation and atrial flutter2020 ACC/AHA guideline for the management of patients with valvular heart disease2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease: Executive Summary: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease: Executive SummaryMedical Management of Rheumatic Heart DiseaseA randomized clinical trial to evaluate the efficacy and safety of rivaroxaban in patients with bioprosthetic mitral valve and atrial fibrillation or flutter: Rationale and design of the RIVER trialIndonesian registry on atrial fibrillation (OneAF)Atrial Fibrillation in Rheumatic Heart DiseaseRight Atrial Thrombosis and Pulmonary Embolism: A Narrative ReviewRheumatic Mitral Stenosis: Long-Term Follow-Up of Adult Patients with Nonsevere Initial DiseaseManagement of rheumatic mitral stenosisRheumatic Mitral Valve Stenosis: Diagnosis and Treatment OptionsValvular Heart DiseaseAnticoagulation Drug Trials for Stroke Prevention in Atrial FibrillationRheumatic heart disease in the modern era: recent developments and current challengesRegulation of cardiac calcium by mechanotransduction: Role of mitochondriaMitral leaflet separation index. An easy two dimensional echocardiography technique for assessment of mitral valve area before and after percutaneous balloon mitral valvuloplastyEndovascular Therapy for Rheumatic Mitral and Aortic Valve Disease: Review Article2018 KHRS Guidelines for Stroke Prevention Therapy in Korean Patients with Nonvalvular Atrial FibrillationMitral StenosisMitral Stenosis: A ReviewAssociation of lymphocyte-monocyte ratio and monocyte-to-high-density lipoprotein ratio with the presence and severity of rheumatic mitral valve stenosis2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTSClinical Effect of Left Ventricular Dysfunction in Patients with Mitral Stenosis after Mitral Valve ReplacementAssociation of the CHA2DS2-VASc score with left atrial spontaneous echo contrast: a cross-sectional study of patients with rheumatic mitral stenosis in sinus rhythmEvaluation of early direct current cardioversion for maintenance of sinus rhythm in rheumatic atrial fibrillation following successful balloon mitral valvotomyDiagnostic Evaluation and Follow-Up of Patients with Atrial FibrillationMitral StenosisNon-vitamin K antagonist oral anticoagulants in atrial fibrillation accompanying mitral stenosis: the concept for a trialHow to define valvular atrial fibrillation?Right ventricular function and symptomatology in patients with isolated mitral stenosis: A Doppler tissue imaging studyValvular Heart Disease: Introduction, Clinical Pathogenesis, and ManagementHeart Valve DiseaseMitralstenoseWhat is 'valvular' atrial fibrillation? A reappraisalMitral and Aortic Valve Balloon ValvotomyDiagnostic Evaluation and Follow-Up of Patients with Atrial FibrillationDiagnosis and Management of Valvular Heart Disease2014 AHA/ACC guideline for the management of patients with valvular heart disease2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease: Executive Summary2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease: Executive SummaryValvular Heart DiseaseManagement of Mitral Stenosis Using 2D and 3D Echo-Doppler ImagingThe Impact of Right Ventricular Stroke Work on B-Type Natriuretic Peptide Levels in Patients With Mitral Stenosis Undergoing Percutaneous Mitral ValvuloplastyThe Role of Echocardiography During Mitral Valve Percutaneous InterventionsValvular Heart DiseaseHeart Valve DiseaseRheumatic Mitral StenosisHeart Valve Lesions Due to the Formation of a Beta-Hemolytic Streptococ Role of Adhesion MoleculesManagement of Atrial Fibrillation in Patients With Structural Heart DiseaseKrankheiten des HerzensMitral Valve DiseasesHeart Disease and Stroke Statistics—2012 UpdateAssessment of the patient with valvular heart disease: An integrative approachUneventful Disappearance of a Large Left Atrial Ball Thrombus with Enoxaparin in a Patient with Mitral Stenosis Associated with PregnancyHeart Disease and Stroke Statistics—2011 UpdateValvular Heart DiseaseMitral ValveAntithrombotic Medication for Cardioembolic Stroke PreventionPathology of Mitral StenosisPathology of Mitral InsufficiencyHeart Disease and Stroke Statistics—2010 UpdateAntithrombotic Therapy for Valvular Heart DiseaseMitral StenosisMitral Valve DiseaseMitral stenosisCT Angiography of the Cardiac Valves: Normal, Diseased, and Postoperative AppearancesMitral StenosisHeart Valve DiseaseLiteraturLiteraturRheumatic Mitral Valve DiseaseComputed tomography assessment of valvular morphology, function, and disease2008 Focused Update Incorporated Into the ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease2008 Focused Update Incorporated Into the ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart DiseaseThe Diagnosis and Management of Chronic Rheumatic Heart Disease—An Australian GuidelinePercutaneous Balloon Mitral Commissurotomy in Indigenous versus Non-Indigenous AustraliansRheumatic mitral valve stenosis is associated with impaired flow-mediated dilatationChapter 36 Cardio‐embolic strokeMitral stenosis and regurgitation.Evaluation of the Relationship between Functional Capacity and Right Ventricular Diastolic Function in Patients with Isolated Mitral Stenosis and Sinus Rhythm: A Tissue Doppler StudyMitral Valve DiseasesPathophysiology and Clinical Recognition of Heart FailureKlappenvitien im ErwachsenenalterSelection of prosthetic heart valvesACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart DiseaseACC/AHA 2006 Practice Guidelines for the Management of Patients With Valvular Heart Disease: Executive SummaryACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart DiseaseACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease: Executive SummaryA Simple Different Method to Use Proximal Isovelocity Surface Area (PISA) for Measuring Mitral Valve AreaImmediate and long-term results of percutaneous mitral balloon valvotomy in asymptomatic or minimally symptomatic patients with severe mitral stenosisLeft atrial thrombosis in pregnant women with mitral stenosis and sinus rhythmHeart Valve DiseaseChanges in plasma levels of adhesion molecules after percutaneous mitral balloon valvuloplastyDobutamine stress echocardiography for noninvasive assessment and risk stratification of patients with rheumatic mitral stenosisPreoperative Evaluation of Mitral Valve Stenosis: What Do We Need?Evaluation of Valve Disease with Novel Imaging TechniquesHeart Valve FunctionDoes the Myocardial Performance Index Affect Pulmonary Artery Pressure in Patients With Mitral Stenosis? A Tissue Doppler Imaging StudyLevels of circulating adhesion molecules in rheumatic mitral stenosisThe clinical and diagnostic features of mitral valve diseaseValvulopatías mitralesPredictors of Cerebrovascular Events and Death Among Patients With Valvular Heart DiseaseComputed Tomography and Magnetic Resonance Imaging of Patients With Valvular Heart DiseaseClinical and echocardiographic predictors of left atrial clot and spontaneous echo contrast in patients with severe rheumatic mitral stenosis: a prospective study in 200 patients by transesophageal echocardiographyValvular Heart Disease: Mitral StenosisPlain-film evaluation of valvular heart diseaseACC/AHA guidelines for the management of patients with valvular heart diseaseCLINICAL ASSESSMENT AND MANAGEMENT OF MITRAL STENOSISBiochemical markers of coagulation activation in mitral stenosis, atrial fibrillation, and cardiomyopathyMitralstenoseStudying the ClassicsCoagulation activity is increased in the left atrium of patients with mitral stenosisCongestive Heart Failure as a Consequence of Valvular Heart DiseaseRelief of rheumatic mitral stenosis — when and how?Mitral valve diseaseMitral valve replacementInfluence of percutaneous mitral commissurotomy on left atrial spontaneous contrast of mitral stenosisBalloon valvuloplasty for mild mitral stenosisTiming of Surgery in Mitral and Aortic StenosisMitral Stenosis and Left Atrial MyxomaErworbene HerzklappenfehlerCase 19-1989Antithrombotic Therapy in Atrial FibrillationMitralstenoseAntithrombotic therapy for patients with cardiac diseaseReplyChronic Valvular Heart Disease: Timing of SurgeryAnticoagulation in Patients with Valvular Heart Disease, Atrial Fibrillation, or BothThe timing of surgery in mitral and aortic valve diseaseArterial Thromboembolism: Valvular Heart Disease and Prosthetic Heart ValvesUsefulness of anticoagulant therapy in the prevention of embolic complications of atrial fibrillationSerum and urinary enzyme activities in renal artery embolismAntithrombotic Therapy in Atrial FibrillationPrognosis in valvular heart diseaseKlappenerkrankungen; MitralklappenschädenThe risk of thromboembolism and hemorrhage following mitral valve replacementCurrent status of the pericardial xenograft valveCerebral infarction of the basal ganglia due to embolism from the heart.Risk of recurrent stroke in patients with atrial fibrillation and non-valvular heart disease.Anticoagulant and Platelet-Antiaggregating Therapy in Stroke and Threatened StrokeÄtiologie kardialer RhythmusstörungenSpontaneous Conversion of Long-standing Atrial FibrillationMitralstenoseErworbene HerzklappenfehlerOpen mitral valvotomyRight ventricular performance in mitral stenosisManagement of cerebral embolism of cardiac origin.Natural History of Rheumatic Heart Disease in ChildhoodIndications for surgical replacement of the mitral valveMitral valve replacement in elderly patients: Encouraging postoperative clinical and hemodynamic resultsPrediction of late survival in patients with mitral valve disease from clinical, hemodynamic, and quantitative angiographic variables.Erworbene HerzklappenfehlerDie MitralstenoseAnticoagulants and AnticoagulationIsolated replacement of the mitral valve with the Starr-Edwards prosthesisRelation between echocardiographically determined left atrial size and atrial fibrillation.Task force VI: Valvular heart diseaseNatural history of aortic and mitral valve diseaseInfluence of surgery on the natural history of rheumatic mitral and aortic valve diseaseErworbene HerzklappenfehlerClinical aspects of rheumatic valvular diseaseSurgery for Acquired Valvular Heart DiseaseCurrent status of prosthetics for heart valve replacementNatural History of Mitral Stenosis: A ReviewLongitudinal Hemodynamic and Clinical Study of Mitral StenosisA Fifteen-Year Follow-up Study of Closed Mitral ValvuloplastyKrankheiten des HerzensThe efficacy of anticoagulant therapy in preventing embolism related to D.C. electrical conversion of atrial fibrillationThe Natural History of Mitral StenosisMitral Valve Disease and HypertensionClosed valvuloplasty for mitral stenosisSurgical Treatment of Mitral Stenosis: Survival Rales in 500 Operated PatientsRole of the Phonocardiogram in Evaluation of the Severity of Mitral Stenosis and Detection of Associated Valvular LesionsSystemic arterial embolism in patients with mitral stenosis and minimal dyspneaPROGNOSIS OF CEREBRAL EMBOLISMNatural history of asymptomatic and symptomatic mitral stenosis under medical management, 1949–1962Heart Valve Replacement: Clinical ExperienceClosed Valvuloplasty for Mitral StenosisThe course of surgically modified mitral stenosisTHE NATURAL HISTORY OF 271 PATIENTS WITH MITRAL STENOSIS UNDER MEDICAL TREATMENTEmbolism and atrial fibrillationA COMPARISON OF MEDICAL AND SURGICAL TREATMENT OF MITRAL STENOSISFIVE-YEAR FOLLOW-UP STUDY OF CLOSED MITRAL VALVULOTOMYSTUDENT AND FAMILYPROGNOSIS IN MITRAL STENOSIS 1 April 1960Volume 52, Issue 4Page: 741-749KeywordsAtrial fibrillationEndocarditisForecastingHeartMitral stenosisStenosisSurgery ePublished: 1 December 2008 Issue Published: 1 April 1960 Copyright & PermissionsCopyright ©, 1960, by The American College of PhysiciansPDF downloadLoading ...