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MITRIAL REGURGITATION (Diagnostic Findings (EKG - Left ventricular…
MITRIAL REGURGITATION
Diagnostic Findings
EKG - Left ventricular hypertrophy, MI, Ischemia
CXR - Enlarged left ventricle and left atrium, possible right heart enlargement and pulmonary HTN (chronic), pulmonary congestion (acute)
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Treatment
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Pharmacologic
Chronic - Vasodilators (ACE-I, Diuretics)
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Clinical Presentation
History
Chronic - Progressive dyspnea, (leading to PND and orthopnea), fatigue, weakness
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Physical Examination
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Characteristic Murmur
Chronic MR -Holosystolic murmur, heard best at apex, w/ radiation to axilla
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