Mitral Stenosis

Causes:

• Rheumatic heart disease
• Bicuspid valve
• Sub valvular fusion
• SLE
• Rheumatiod Arthritis
• Malignant carcinoid syndrome
• Age-calcification

Anaesthetic goals

• Maintain Sius rhythm
• Optimal preload
• Do not increase or decrease SVR
• Avoid myocardial supression
• Maintain heart rate between 60 to 80.

Ref:http://www.emedicine.com/emerg/topic315.htm