Mitral regurgitation
joblist: managing the sick MR patient?
| Headline | |
|---|---|
| Etiology | LV dilatation, age, Infective endocarditis, connective tissue disorders |
| Epidemiology | |
| Clinical presentation | SOB, fatigue, palpitations - acute heart failure - prominent v wave in CVP waveform Murmur: pan-systolic, loudest when leaning on left, radiating to axilla Heart sounds: soft S2 Apex beat: displaced Pulse: low volume, AF |
| Pathogenesis | Acute MR: volume overload of LA and pulmonary veins → pulmonary oedema Chronic MR: LVH |
| Diagnostic investigations | - echo - blood cultures if acute MR with no obvious signs of infarction - Infective endocarditis |
| Management | Acute presentation: pulmonary oedema, rate control |
| Prevention |