Mitral stenosis

Diagnosis

• Mid-diastolic murmur
• Symptoms
  • Exertional dyspnea
  • PND
  • Acute pulmonary edema
  • R-sided HF symptoms
  • Hemoptysis (pulm htn > ruptured bronchial vein)
  • Precipitants:
    • Anemia
    • Pregnancy
    • Infection
    • A-fib
• ECG
  • RAD
  • Biphasic P waves
• CXR
  • Straightening of right heart border

Treatment

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

See Also

Mitral Stenosis