Mitral stenosis

Revision as of 08:08, 31 January 2015 by Rossdonaldson1 (talk | contribs)

Background

Clinical Features

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

Diagnosis

  • ECG
    • RAD
    • Biphasic P waves
  • CXR
    • Straightening of right heart border

Differential Diagnosis

Valvular Emergencies

Treatment

  • Diuretics
    • Alleviates pulmonary congestion
  • A-fib treatment
  • Hemoptysis
    • Consider transfusion / surgery consult

See Also