Mitral Stenosis Severe and Regurgitation Mild - Rheumatic Origin

Description

Mitral stenosis is almost always caused by rheumatic fever.Pulmonary hypertension and atrial fibrillation (with consequent thromboembolism) may develop. This is an example of severe mitral stenosis combined with mild mitral regurgitation in a patient with rheumatic heart disease. Heart sounds include a loud S1and an early diastolic opening snap followed by a low-pitched decrescendo-crescendo rumbling diastolic murmur, heard best at the apex at end-expiration when the patient is in the left lateral decubitus position; the murmur increases after a Valsalva maneuver, exercise, squatting, and isometric handgrip.
Mitral Stenosis Severe and Regurgitation Mild - Rheumatic Origin

Maneuver: Supine left side down
Chestpiece Position: Mitral
Chestpiece: Diaphragm

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