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Betty runs out of puff, 84 yo, History of hypercholesteremia +…

- - - - Peripheral oedema (lower limb)
        
        Right sided heart failure
- - - - Mitral valve prolapse
        
        Primary mitral valve regurgitation
        
        Accumulation of blood into left atrium
        
        Left atrium volume and pressure increase
        
        Transmission of volume to pulmonary vessels
        
        Pulmonary venous congestion
        
        3 more items...
        
        Myocardial stretch of left atrium
        
        Abnormal automaticity of SA node and cardiac fibres
        
        1 more item...
        
        Stasis of blood flow
        
        Thrombus formation
        
        Embolus lodges into cerebral artery
        
        1 more item...
        
        Mitral valve leaflet prolapse
        
        Chordae tendinae snap and tension
        
        Auscultation: Midsystolic click (not early systolic click)
        
        1 more item...
        
        Turbulent blood flow
        
        Mid systolic click and murmur
        
        Increased end-diastolic volume in left ventricle
        
        Eccentric left ventricular hypertrophy
        
        Increased systolic pressure
        
        Wide pulse pressure
        
        Frank-Starling mechanism
        
        Echocardiogram
        
        Thickening of mitral leaflets with posterior leaflet prolapse, severe eccentric mitral regurgitation
        
        Dilatation of left ventricle, left atrium, right ventricle, right atrium
      - Mitral valve clip (severe cases)