Patient (condition)
Aliases:
Topic aliases are alternate phrasings for a particular topic.
Mitral valve prolapse (MVP)
MVR
MR
MV regurge
Mitral Valve Prolapse
MV Prolapse
MVP
Mitral regurgitation
Mitral regurge
Clinical signs:
Low volume pulse;
diastolic murmur in axilla heard best in the left lateral position;
signs of LVF (creps, hypoxia);
signs of pulmonary hypertension (loud P2, RV heave);
signs of RHF (pedal oedema, elevated JVP)
Low volume pulse;
diastolic murmur in axilla heard best in the left lateral position;
signs of LVF (creps, hypoxia);
signs of pulmonary hypertension (loud P2, RV heave);
signs of RHF (pedal oedema, elevated JVP)
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Nov 12, 2012
If patient awaiting valve repair develops relapsing sepsis (eg cholelithiasis/ biliary sepsis), it may be better to accept higher risk to fix ( cholecystectomy), than risk sepsis after valve repair
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Dec 03, 2012
If severe symptomatic disease is present ensure any incidental surgery is booked to be done in-hours by consultant anaesthetist and consultant surgeon.
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Nov 14, 2011
Maintain low afterload. Minimising left ventricular systolic pressure through afterload reduction decreases the pressure gradient from the left ventricle to the left atrium during systole. This results in a decrease in regurtitant volume. Yao & Artusio
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Sep 18, 2011