Mitral Regurgitation Flashcards
1
Q
What are the main causes of mitral regurgitation?
A
Degenerative disease (ageing) Functional (stretching) Ischaemic heart disease Infective endocarditis Rheumatic heart disease
2
Q
What are the symptoms of mitral regurgitation?
A
Dyspnoea
Fatigue
Left heart failure (leading to right heart failure)
3
Q
What are the signs of mitral regurgitation?
A
Pulse - normal or AF
Displaced apex beat
4
Q
What is auscultated with mitral regurgitation?
A
Pansystolic murmur radiating to axilla
Loudest at apex, on expiration in left lateral position
5
Q
How is mitral regurgitation treated?
A
Conservatively - monitoring ACE inhibitors Diuretics Anticoagulants Mitral valve repair