Mitral Regurgitation

Etiology

  • Chronic→ mitral valve prolapse
  • Prior endocarditis
  • Ring dilataion from dilated LV
  • Rheumatic heart dz
  • Acute regurgitation can occur with endocarditis, infarct and papillary muscle rupture, torn cord

Symptoms

  • Acute regurg→ acute sx CHF
  • Chronic MR, CHF sx develop over time

Physical Exam Findings

  • Holosytolic murmur radiating towards axilla
  • Can accentuate with listening in L lateral decubitus position
  • Other findings CHF w/advanced disease

Links