Mitral regurgitation: Difference between revisions
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==See Also== | ==See Also== | ||
[[Valvular Emergencies]] | *[[Valvular Emergencies]] | ||
*[[Heart Murmurs]] | |||
==Source== | ==Source== | ||
Revision as of 21:15, 18 July 2011
Diagnosis
- Most common cause is papillary / chordae rupture after MI
- Suspect if new-onset pulm edema + normal heart size
- Severe dyspnea, tachycardia, pulmonary edema
- Cardiogenic shock may develop
- S4, apical systolic murmur
Treatment
- Decrease pulmonary edema
- O2, nitrates, diuretics
- Increase forward flow
- Decrease afterload
- Consider nitroprusside in normotensive pts
See Also
Source
Tintinalli