Diferencia entre revisiones de «Mitral stenosis»

Sin resumen de edición
Sin resumen de edición
Línea 20: Línea 20:
**RAD
**RAD
**Biphasic P waves
**Biphasic P waves
**Most common arrhythmia is AF
*[[CXR]]
*[[CXR]]
**Straightening of right heart border
**Straightening of right heart border

Revisión del 14:41 16 ago 2016

Background

  • Most likely cause is rheumatic fever

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

Obtenido de «https://www.wikem.org/w/index.php?title=Mitral_stenosis&oldid=95200»