Mitral stenosis

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Diagnosis

  • Mid-diastolic murmur
  • Symptoms
    • Exertional dyspnea
    • PND
    • Acute pulmonary edema
    • R-sided HF symptoms
    • Hemoptysis (pulm htn > ruptured bronchial vein)
    • Precipitants:
      • Anemia
      • Pregnancy
      • Infection
      • A-fib
  • ECG
    • RAD
    • Biphasic P waves
  • CXR
    • Straightening of right heart border

Treatment

  • Diuretics
    • Alleviates pulmonary congestion
  • A-fib treatment
  • Hemoptysis
    • Consider transfusion / surgery consult

See Also