Mitral regurgitation

Revisión del 21:06 18 jul 2011 de Rossdonaldson1 (discusión | contribs.) (Created page with "===Diagnosis=== *Most common cause is papillary / chordae rupture after MI *Suspect if new-onset pulm edema + normal heart size *Severe dyspnea, tachycardia, pulmonary edema *Car...")
(difs.) ← Revisión anterior | Revisión actual (difs.) | Revisión siguiente → (difs.)

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

Valvular Emergencies

Obtenido de «https://www.wikem.org/w/index.php?title=Mitral_regurgitation&oldid=4519»