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Risk factors

By Mayo Clinic staff

Mitral valve stenosis is less common today than it was several decades ago because the most common cause, rheumatic fever, is rare in the United States. However, rheumatic fever remains a frequent problem in countries where antibiotic use isn't as common.

Risk factors for mitral valve stenosis include a history of rheumatic fever and recurrent strep infections. Radiation treatment involving the chest can result in mitral valve stenosis. Other unusual causes of mitral valve stenosis include medications, such as ergot preparations used for migraines.

References
  1. Heart valve disease. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/hvd/hvd_all.html. Accessed May 19, 2011.
  2. Heart valves. American Heart Association. http://www.americanheart.org/presenter.jhtml?identifier=4598. Accessed May 23, 2011.
  3. Otto CM, et al. Valvular heart disease. In: Bonow RO, et al. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 9th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.mdconsult.com/books/page.do?eid=4-u1.0-B978-1-4377-0398-6..C2009-0-59734-6&isbn=978-1-4377-0398-6&uniqId=247741773-3#4-u1.0-B978-1-4377-0398-6..C2009-0-59734-6--TOP. Accessed May 19, 2011.
  4. Ferri FF. Mitral stenosis. In: Ferri FF. Ferri's Clinical Advisor 2011: Instant Diagnosis and Treatment. Philadelphia, Pa.: Mosby Elsevier; 2011. http://www.mdconsult.com/books/page.do?sid=1161209007&eid=4-u1.0-B978-0-323-05610-6..00022-6--s29555&isbn=978-0-323-05610-6&uniqId=247741773-5. Accessed May 19, 2011.
  5. Sorrentino MJ. Medical management and indications for intervention in mitral stenosis. http://www.uptodate.com/home/index.html. Accessed May 23, 2011.
  6. Sorrentino MJ. Surgical management of mitral stenosis. http://www.uptodate.com/home/index.html. Accessed May 23, 2011.
  7. Nishimura RA. ACC/AHA guideline update on valvular heart disease: Focused update on infective endocarditis. Circulation. 2008;118:887.
  8. Schmitto JD, et al. Minimally invasive valve surgery. Journal of the American College of Cardiology. 2010;56:455.
  9. Lehr EJ, et al. Robotic cardiac surgery. Current Opinion in Anesthesiology. 2011;24:77.
DS00420 Sept. 15, 2011

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