Mitral regurgitation: Difference between revisions
(Created page with "===Diagnosis=== *Most common cause is papillary / chordae rupture after MI *Suspect if new-onset pulm edema + normal heart size *Severe dyspnea, tachycardia, pulmonary edema *Car...") |
No edit summary |
||
| Line 15: | Line 15: | ||
==See Also== | ==See Also== | ||
[[Valvular Emergencies]] | [[Valvular Emergencies]] | ||
==Source== | |||
Tintinalli | |||
[[Category:Cards]] | [[Category:Cards]] | ||
Revision as of 21:11, 18 July 2011
Diagnosis
- Most common cause is papillary / chordae rupture after MI
- Suspect if new-onset pulm edema + normal heart size
- Severe dyspnea, tachycardia, pulmonary edema
- Cardiogenic shock may develop
- S4, apical systolic murmur
Treatment
- Decrease pulmonary edema
- O2, nitrates, diuretics
- Increase forward flow
- Decrease afterload
- Consider nitroprusside in normotensive pts
See Also
Source
Tintinalli