{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,31]],"date-time":"2025-05-31T21:22:50Z","timestamp":1748726570524,"version":"3.40.5"},"reference-count":4,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,6,27]],"date-time":"2019-06-27T00:00:00Z","timestamp":1561593600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2019,8]]},"abstract":"Abstract<\/jats:title>Dyspnea due to mitral stenosis (MS) and\/or pulmonary hypertension (PHT) in patients who may have both conditions presents a challenging diagnostic dilemma. The hemodynamic response to exercise is probably the most helpful method to arrive at the correct diagnosis and treatment algorithm. In this hemodynamic rounds discussion, we evaluated a patient with MS and PHT prior to the decision for mitral valvuloplasty.<\/jats:p><\/jats:sec>Key Points<\/jats:title>\n\nSymptoms in patients with mitral stenosis and pulmonary hypertension cannot always be attributed to one pathology.<\/jats:p><\/jats:list-item>\nCatheter\u2010based hemodynamics are often needed to differentiate valve from lung disease.<\/jats:p><\/jats:list-item>\nExercise hemodynamics can clarify the predominant pathology in complex clinical scenarios.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.28381","type":"journal-article","created":{"date-parts":[[2019,6,28]],"date-time":"2019-06-28T04:55:28Z","timestamp":1561697728000},"page":"301-307","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Evaluation of the severity of mitral stenosis in patient with pulmonary hypertension: Role of exercise hemodynamics"],"prefix":"10.1002","volume":"94","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8425-3042","authenticated-orcid":false,"given":"Morton J.","family":"Kern","sequence":"first","affiliation":[{"name":"Veterans Administration Long Beach Health Care System, University of California Irvine California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min","family":"Kim","sequence":"additional","affiliation":[{"name":"Veterans Administration Long Beach Health Care System, University of California Irvine California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9043-8791","authenticated-orcid":false,"given":"Jeannie","family":"Yu","sequence":"additional","affiliation":[{"name":"Veterans Administration Long Beach Health Care System, University of California Irvine California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0584-1904","authenticated-orcid":false,"given":"Arnold H.","family":"Seto","sequence":"additional","affiliation":[{"name":"Veterans Administration Long Beach Health Care System, University of California Irvine California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,6,27]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"1646","volume-title":"Braunwald's heart disease: a textbook of cardiovascular medicine","author":"Libby P","year":"2008"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1086\/690553"},{"key":"e_1_2_6_4_1","doi-asserted-by":"crossref","unstructured":"Nishimura RA Otto CM Bonow RO Carabello BA Erwin JP 3rd Guyton RA O'Gara PT Ruiz CE Skubas NJ Sorajja P Sundt TM 3rd Thomas JD. ACC\/AHA Task Force Members.2014AHA\/ACC Guideline for the Management of Patients With Valvular Heart Disease: executive summary: a report of the American College of Cardiology\/American Heart Association Task Force on Practice Guidelines. 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