MITRAL REGURGITATION Flashcards
1
Q
DDX: Acute Mitral REgurgitation
A
Papillary muscle or chordae tendineae rupture from MI
Valve leaflet perforation from infective endocarditis
2
Q
DDx: Chronic Mitral Regurgitation
A
Fibroelastic deficiency syndrome - MCC
Mitral Valve Prolapse
3
Q
Symptoms: Acute MR
A
Severe dyspnea, tachycardia and pulmonary edema
4
Q
Physical Exam: Acute MR
A
Harch apical systolic murmur
5
Q
Symptoms: Chronic MR
A
Exertional dyspnea
+/- palpitations or atrial fibrillation
6
Q
Physical Exam: Chronic MR
A
High-pitched apical holosystolic murmur radiating into S2
May have an S3
7
Q
ECG Findings
A
May show ischemis in the inferior or anterior walls
LAE and LVH
8
Q
Management: Acute MR
A
Emergency Surgery
Start with 02 and PPV
Nitrates to reduce afterload
Dobutamine if needed
