Valvular Heart Disease: Mitral Regurgitation

Question 1

Mitral Regurgitation: Causes:
RHD
MVP
IEC
LV/A-D
Mitral Regurgitation: Compensatory Features:
ERO: 
LV:
LA:

Answer 1

Mitral Regurgitation: Causes:
Rheumatic Heart Disease
MV Prolapse
Infective Endocarditis
LV& Annular Dilation
Mitral Regurgitation: Compensatory Features:
ERO: Effective Regurgitation Orifice 
LV: Compensation 
LA: Compliance

Question 2

Mitral Regurgitation: Symptoms: 
General :
B
F
P
IEC
Acute: 
B
PO
CGS
Chronic: 
RHF
AF
F/E/L-CO

Answer 2

Mitral Regurgitation: Symptoms: 
General :
Breathlessness/Dyspnoea
Fatigue
Palpitations - if AF
Infective Endocarditis
Acute: 
Breathlessness 
Pulmonary Oedema 
Cariogenic Shock 
Chronic: 
Right Heart Failure
Atrial Fibrillation
Fatigue/Exhaustion/Low-Cardiac Output

Question 3

Mitral Regurgitation: Investigations: 
C
C
E
E

Answer 3

Mitral Regurgitation: Investigations: 
Cardiac Catheterisation - diagnosis
Chest X Ray
Echocardiography
ECG

Question 4

Mitral Regurgitation: Treatment:
R/R
ACG
D
Acute:

Answer 4

Mitral Regurgitation: Treatment:
Repair/Replace Mitral Valve
Anticoagulation - if AF
Diuretics
Acute: Sodium Nitropursside, Dobutamine, IABP (Intra-aortic balloon pump/balloon valvuloplasty)

Question 5

Acute Mitral Regurgitation: Acute Treatment:

1. S-NP
2. DoB
3. IA-BP/BVP

Answer 5

Acute Mitral Regurgitation Treatment:

1. Sodium Nitropursside
2. Dobutamine
3. IABP (Intra-aortic balloon pump/balloon valvuloplasty)