[Role of beta-blockers in the treatment of mitral stenosis, apropos of 4 cases].
The use of beta blockers during treatment of mitral stenosis is discussed on four cases involving females patients who are symptomatic. All had sinusal tachycardia, one was pregnant, one with cardiothyreosis, two with anemia. In all cases, it's the use of beta-blockers with diuretic, veinous vasodilator and digitalic drugs that allowed the successful treatment of the pulmonary oedema. These observations, added with the literature study, showed that beta-blockers treatment is wise when the subject is carefully studied. The best result is obtained on pure mitral stenosis without left ventricular systolic dysfunction, with sinusal tachycardia and high cardiac output state.
Kane
A
A
Service de Cardiologie, CHU de Dakar.
Ba
S A
SA
Fall
M D
MD
Sarr
M
M
Diop
I B
IB
Hane
L
L
Diouf
S M
SM
D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use*; D000328:Adult; D000740:Anemia / Q000150:complications; D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use*; D004071:Digitalis Glycosides / Q000627:therapeutic use; D004232:Diuretics / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005260:Female; D005665:Furosemide / Q000627:therapeutic use; D006111:Graves Disease / Q000150:complications; D006801:Humans; D008946:Mitral Valve Stenosis / Q000150:complications / Q000188:drug therapy*; D005996:Nitroglycerin; D010100:Oxygen / Q000627:therapeutic use; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000188:drug therapy; D011433:Propranolol / Q000627:therapeutic use; D011654:Pulmonary Edema / Q000188:drug therapy / Q000209:etiology; D012214:Rheumatic Heart Disease / Q000150:complications / Q000188:drug therapy; D013616:Tachycardia, Sinus / Q000188:drug therapy / Q000209:etiology; D014665:Vasodilator Agents / Q000627:therapeutic use
D000319:Adrenergic beta-Antagonists; D000889:Anti-Arrhythmia Agents; D004071:Digitalis Glycosides; D004232:Diuretics; D014665:Vasodilator Agents; D005665:Furosemide; D011433:Propranolol; D005996:Nitroglycerin; D010100:Oxygen
Place des beta-bloquants dans le traitement de la sténose mitrale à propos de quatre observations.