This historical review outlines the pathophysiological mechanisms of dyspnea and pulmonary dysfunction in mitral stenosis.
Answers are grounded in this paper and cite their sources.
Does not change mitral stenosis management; leaves open whether modern interventions modify alveolar-capillary dysfunction.
Article1 November 1954PULMONARY FUNCTION IN MITRAL STENOSIS: A REVIEW OF CURRENT CONCEPTSRALPH C. SCOTT, M.D.RALPH C. SCOTT, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-41-5-980 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIt is a well known fact that patients with mitral stenosis are frequently troubled with dyspnea. The dyspnea may be minimal and present only on exertion in milder cases of stenosis, or it may be extreme and incapacitating in cases of more severe stenosis. The dyspnea and diminished vital capacity may be related to the pulmonary congestion and hypertension so common in these patients. When the pressure in the pulmonary capillaries exceeds the colloid osmotic pressure of plasma, the patients are in danger of developing pulmonary edema. Alteration in the alveolar-capillary membrane also may be important in the pulmonary symptoms...Bibliography1. 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AndrusBlalockBing ECARJ: The surgical treatment of mitral stenosis and its physiological consequences, Tr. A. Am. Physicians 64: 335, 1951. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Cincinnati, Ohio*Received for publication March 12, 1954.From the Cardiac Laboratory, Cincinnati General Hospital, and the Department of Internal Medicine, University of Cincinnati, Cincinnati, Ohio. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byTHE PULMONARY CAPILLARY BED IN MITRAL VALVE DISEASESOME ASPECTS OF DISORDERED PULMONARY FUNCTION IN MITRAL STENOSIS*†D. J. MACINTOSH, M.D., J. C. SINNOTT, M.D., I. G. MILNE, M.D., E. A. S. REID, M.D., F.A.C.P.Das Zentralnervensystem bei Krankheiten des Herzens und der LungenAlveolar Walls in Mitral Stenosis 1 November 1954Volume 41, Issue 5Page: 980-988KeywordsDyspneaEdemaHospital medicineHypertensionMitral stenosisOsmotic pressurePulmonary functionPulmonary hypertensionResearch laboratoriesStenosis ePublished: 1 December 2008 Issue Published: 1 November 1954 PDF downloadLoading ...
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