Mitral valve stenosis ) can cause a precipitous decrease in cardiac output and sudden congestive heart failure. Patients with mitral stenosis prompts a series of hemodynamic changes that frequently cause deterioration of the patient's clinical status. A reduction in cardiac output, associated with acceleration of heart rate and shortening of the diastolic time, frequently leads to congestive heart failure. In addition, when AF sets in, systemic embolization becomes a real danger. Mitral stenosis typically progresses slowly (over decades) from the initial signs of mitral stenosis to NYHA functional class II symptoms to the development of atrial fibrillation to the development of NYHA functional
Where Would You Be Where Would You Be "Where Would You Be" is a song written by Rachel Proctor and Rick Ferrell, and recorded by American country music singer Martina McBride. It was released in May 2002 as the third single from her "Greatest Hits" album. The song peaked at number 3 on the U.S. "Billboard" Hot Country Singles & Tracks chart. The female narrator questions a lover and asks if he would rather be with someone else, or with no one. Producer Paul Worley thought that the song "challenged Martina more than any song ever has", and McBride said that she enjoyed "the