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Moderate Mitral Stenosis
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DDKUMAR posted:
HI,
Now My wife is 11week Pregnant and has been detected Rheumatic Heart Disease, Moderate Mitral Stenosis (MVA=1.45cm2).
Doctor has adviced for METOCARD XL 12.5 1tab daily & PENTIDS 400 2tab daily.
I am appending the 2D ECHO Report. Kindly advice.
2D - ECHO REPORT DATED 06.04.2013
MRS. ANANDAMAYEE MAHARANA
AGE : 23 YEARS PREGNENCY : 11TH WEEK

1. DR. 1 SUGGEST: PENIDURE
2. DR. 2 SUGGEST: PENTIDS 400

Mitral Valve Thickened MACS 15 mm
Aoritic Valve Normal EPSS - mm
Pulmonary Valve Normal LV Mass 135.8 g
Tricustid Valve Normal LV Mass Index 83 g/m2
LA 39.7 mm
AO 25.3 mm
IVSd 10.2 mm
Post Wall 9.7 mm
LVIDd 41.9 mm
LVIDs 27.3 mm
Ejection Fraction 64.4 mm
Contractility (Fractional Shortening) 34.84 mm
RWMA Absent
Right Ventricle 23.6 mm

Mitral Flow MVA = 1.45 cm2 (220/Pressure Half Time)
Aoritic Flow Peak Velocity=1.44 m/sec Peak Grad=8.3 mm Hg
Pulm Flow Peak Velocity=1.03 m/sec Peak Grad=4.2 mm Hg

MR Normal
AR Normal
TR Trivial
PR Trivial

IMPRESSION: RHD, MODERATE MS (MVA=1.45 CM2)
RECOMMENDATIONS
1.) MEOCARD XL 12.5, 1-TAB DAILY AFTER BREAKFAST
2.) Injection PENIDURE LA 12 LACS IN EVERY 21 DAYS
OR
2.) PENTIDS 400, 2-TAB DAILY IN EMPTY STOMACH

KINDLY SUGGEST/ADVICE..
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