RALPH C. SCOTT, M.D.
It 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
SCOTT RC. PULMONARY FUNCTION IN MITRAL STENOSIS: A REVIEW OF CURRENT CONCEPTS1. Ann Intern Med. ;41:980–988. doi: 10.7326/0003-4819-41-5-980
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Published: Ann Intern Med. 1954;41(5):980-988.
Cardiology, Valvular Heart Disease.
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