Mitral regurgitation

symptoms
1. progressive exertional dyspnoea
2. palpitations
3. fatigue
4. severe
  1. pulmonary oedema
signs
1. pulse
  1. jerky
  2. ?AF
2. chest
  1. fine bibasal crackles
    1. PO due to LV overload
  2. parasternal heave
    1. left atrial enlargement
  3. loud P2
    1. pulmonary HTN
  4. Pansystolic murmur
    1. at apex
    2. radiates to axilla
    3. loudest on expiration
  5. systolic apical thrill
  6. apex beat
    1. displaced
    2. thrusting
causes
1. rheumatic fever
2. prolapsing leaflets
3. papillary muscle dysfuction
4. rupture after inferior MI
5. cardiomyopathy
6. Ventricular dilatation/ dysfunction
pathophysiology
1. chronic
  1. volume overload
    1. atrial dilatation
    2. ventricular dilatation
management
1. pulmonary congestion
  1. diurectics
2. acute regurgitation
  1. vasodilators
3. AF
  1. digoxin
  2. anticoagulants
4. mitral valve replacement

Resource summary

	Created by Laura Smitherman about 9 years ago