Mitral stenosis: Difference between revisions

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*[[CXR]]
*[[CXR]]
**Straightening of right heart border
**Straightening of right heart border
*Echo


==Differential Diagnosis==
==Differential Diagnosis==

Revision as of 03:19, 23 January 2017

Background

  • Most likely cause is rheumatic fever
  • Uncommon in western world

Clinical Features

  • Mid-diastolic murmur
  • Symptoms
    • Exertional dyspnea
    • PND
    • Acute pulmonary edema
    • R-sided HF symptoms
    • Hemoptysis (pulmonary htn > ruptured bronchial vein)
    • Precipitants:

Evaluation

  • ECG
    • RAD
    • Biphasic P waves
    • Most common arrhythmia is AF
  • CXR
    • Straightening of right heart border
  • Echo

Differential Diagnosis

Valvular Emergencies

Management

  • Diuretics
    • Alleviates pulmonary congestion
  • A-fib treatment
  • Hemoptysis
    • Consider transfusion / surgery consult
  • Endocarditis prophylaxis after replacement

Complications

See Also

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