Mitral stenosis

Revisión del 10:24 30 jul 2016 de Rossdonaldson1 (discusión | contribs.) (Text replacement - "pulm " to "pulmonary ")

Background

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
  • 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

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