What are the complications of rheumatic heart disease mitral stenosis?

Patient's question:

Got rheumatic heart disease with mitral stenosis, but didn't feel anything wrong. The internet says there will be complications, what kind of complications are there?

Doctor's answer:

The complications of rheumatic heart disease mitral stenosis include the following:
1. Arrhythmia, atrial fibrillation is more common, often progressing from premature atrial contractions to atrial tachycardia, which then becomes persistent atrial fibrillation.
2. Congestive cardiac failure, right ventricular failure is a common late complication and the main cause of death in this condition.
3. Acute pulmonary edema, this is a severe and urgent complication of moderate to severe mitral stenosis, with a high mortality rate. It is often triggered by strenuous physical exercise, emotional excitement, infection, early pregnancy or delivery, or rapid atrial fibrillation.
4. Thromboembolism, embolism is the initial symptom of mitral stenosis. It can also recur in mild mitral stenosis, even leading to breathing difficulties again.

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