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The difference between mitral valve prolapse and mitral valve stenosis (prolapse)
مقاله تخصصی

The difference between mitral valve prolapse and mitral valve stenosis (prolapse)

3 months ago
625 بازدید
Dr. Marwarid Dadres

Dr. Marwarid Dadres

Tehran

Cardiologist, echocardiography fellowship

**The difference between mitral valve prolapse and mitral valve stenosis** **Mitral Valve Prolapse** and **Mitral Stenosis** are both **heart problems** related to the **Mitral valve**, but they work completely differently and have different causes, symptoms and treatments. In this article, we will explain these two situations and their differences. ### **Mitral Valve Prolapse** Mitral valve prolapse is a condition in which the mitral valve, which is located between the left atrium and the left ventricle of the heart, abnormally moves back into the left atrium. This usually happens due to weakness or stretching of the ligaments that hold the valve. As a result, the valve is unable to close completely and may result in blood leakage (backflow) into the **left atrium**. This condition is often accompanied by symptoms such as **palpitations**, **chest pain**, or **shortness of breath**, although in many cases it can be asymptomatic. ### **Mitral valve narrowing (Mitral Stenosis)** Mitral stenosis, as opposed to prolapse, refers to a condition where the mitral valve is abnormally narrow or stiff and cannot open properly. This narrowing causes **restriction of blood flow from the left atrium to the left ventricle** and can create a lot of pressure on the **left atrium**. This condition is usually caused by rheumatic fever that occurs after throat infections. Symptoms of mitral valve stenosis include shortness of breath, fatigue, leg swelling, and similar heart problems. ### **Main differences between mitral valve prolapse and stenosis** - **The main reason:** **Prolapse**: usually caused by weakness in the tissues supporting the valve (such as ligaments) or genetic changes. - Stenosis: often caused by inflammation and damage to the mitral valve following rheumatic fever. - **main problem:** - **Prolapse**: The main problem is the abnormal backward movement of the **mitral valve** and **leakage of blood into the left atrium**. - **Stenosis**: The main problem is the narrowing of the valve, which prevents the normal flow of blood. - **Symptoms and complications:** **Prolapse**: blood leakage and valve dysfunction, which may lead to palpitations and chest pain. - **Strenching**: restriction of **blood flow from the left atrium** to the left ventricle and increased blood pressure in the left atrium, which can lead to **shortness of breath**, leg swelling and heart problems. - **Treatment:** - **Prolapse**: drug treatments are used to control symptoms and in some cases **surgery for repair** or **valve replacement**. - **Stenosis**: usually requires drug treatments to control symptoms and in some cases surgery to replace the valve. Mitral valve prolapse and mitral stenosis can both cause serious heart problems, but there are significant differences in their causes, symptoms, and treatments. While **prolapse** is usually due to leakage of blood into the **left atrium**, **mitral stenosis** refers to **narrowing of the mitral valve** and restriction of blood flow. Accurate diagnosis and timely treatment of any of these conditions can help maintain **heart health** and prevent more serious problems.
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