Mitral stenosis: Difference between revisions

No edit summary
No edit summary
Line 1: Line 1:
==Background==
==Background==
*Most likely cause is rheumatic fever
*Most likely cause is rheumatic fever
*Uncommon in western world


==Clinical Features==
==Clinical Features==

Revision as of 02:40, 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

Differential Diagnosis

Valvular Emergencies

Management

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

Complications

See Also

Retrieved from "https://www.wikem.org/w/index.php?title=Mitral_stenosis&oldid=119891"