Mitral Stenosis

Etiology

  • Uncommon in US
  • Related to past rheumatic heart dz, less common MV obstructing tumor

Risk Factors

  • Rheumatic fever

Symptoms

  • Asx initially
  • CHF symptoms as progresses
  • Worse if superimposed SVT

Physical Exam Findings

  • Diastolic murmur heard loudest over mitral area
  • Lower pitched, so heard better w/bell
  • Listening L lateral decubitus position enhances murmur

Links