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sing Doppler Ultrasound to [ill]antify Mitral Valvular Disease

sing Doppler Ultrasound to [ill]antify Mitral Valvular Disease Abstract 32-year-old man with a history of rheumatic fever as a child had pleuritic chest discomfort, hemoptysis, and [ill]ressive dyspnea on exertion. The first heart sound was [ill]ntuated, as was P2. There was minimal splitting of the [ill]nd heart sound. At the apex, an opening sound was followed by a soft, low-pitch middiastolic rumble. A third heart sound was not present. The ECG showed sinus tachycardia, a normal QRS axis, and right atrial abnormality. A pulmonary ventilation-perfusion scan was normal. A representative portion of the patient's M-mode echocardiogram of the mitral valve is shown below (Fig 1). What is your diagnosis? What does the echo labeled X represent? What two additional applications of cardiac ultrasound could be employed to help quantify the degree of disease? Diagnosis—Mitral Stenosis The M-mode echocardiogram shown in Fig 1 demonstrates characteristic findings of mitral stenosis. The anterior mitral leaflet (AML) is thickened and demonstrates a flattened References 1. Henry WL: Measurement of mitral valve orifice area in patients with mitral valve disease by real-time 2D echocardiography . Circulation 1975; 51:827-831.Crossref 2. Martin RP: Reliability and reproducibility of two-dimensional echocardiographic measurement of stenotic MVOA . Am J Cardiol 1979;43:560-568.Crossref 3. Talano JV: Textbook of Two-Dimensional Echocardiography . New York, Grune & Stratton, 1982, pp 67-77. 4. Hatle LIV: Doppler Ultrasound in Cardiology . Philadelphia, Lea & Febiger, 1982, pp 70-76. 5. Staum BR: Quantification of pressure gradients across stenotic valves by Doppler ultrasound . J Am Coll Cardiol 1983;4:707-717.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

sing Doppler Ultrasound to [ill]antify Mitral Valvular Disease

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References (6)

Publisher
American Medical Association
Copyright
Copyright © 1984 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1984.04400020145022
Publisher site
See Article on Publisher Site

Abstract

Abstract 32-year-old man with a history of rheumatic fever as a child had pleuritic chest discomfort, hemoptysis, and [ill]ressive dyspnea on exertion. The first heart sound was [ill]ntuated, as was P2. There was minimal splitting of the [ill]nd heart sound. At the apex, an opening sound was followed by a soft, low-pitch middiastolic rumble. A third heart sound was not present. The ECG showed sinus tachycardia, a normal QRS axis, and right atrial abnormality. A pulmonary ventilation-perfusion scan was normal. A representative portion of the patient's M-mode echocardiogram of the mitral valve is shown below (Fig 1). What is your diagnosis? What does the echo labeled X represent? What two additional applications of cardiac ultrasound could be employed to help quantify the degree of disease? Diagnosis—Mitral Stenosis The M-mode echocardiogram shown in Fig 1 demonstrates characteristic findings of mitral stenosis. The anterior mitral leaflet (AML) is thickened and demonstrates a flattened References 1. Henry WL: Measurement of mitral valve orifice area in patients with mitral valve disease by real-time 2D echocardiography . Circulation 1975; 51:827-831.Crossref 2. Martin RP: Reliability and reproducibility of two-dimensional echocardiographic measurement of stenotic MVOA . Am J Cardiol 1979;43:560-568.Crossref 3. Talano JV: Textbook of Two-Dimensional Echocardiography . New York, Grune & Stratton, 1982, pp 67-77. 4. Hatle LIV: Doppler Ultrasound in Cardiology . Philadelphia, Lea & Febiger, 1982, pp 70-76. 5. Staum BR: Quantification of pressure gradients across stenotic valves by Doppler ultrasound . J Am Coll Cardiol 1983;4:707-717.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Nov 1, 1984

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