A 40 year old female presented with dyspnoea on exeion grade III and palpitations. ECG showed atrial fibrillation with fast ventricular rate. Echocardiography shows severe mitral stenosis with left atrial appendage clot Which of the following Is not advised?
is a procedure that widens the mitral valve so that blood flows more easily through the hea. A balloon valvotomy is a minimally invasive procedure. A doctor uses a thin flexible tube (catheter) that is inseed through an aery in the groin or arm and threaded into the hea Ref Davidson 23rd edtion pg 456
Diltiazen to control ventricular rate
Sta warfarin and follow-up with repeat echocardiography
EC followed by percutaneous balloon mitral valvuloplasty
EC followed by percutaneous balloon mitral valvuloplasty
C.V.S