Mitral regurgitation

Diagnosis

• Most common cause is papillary / chordae rupture after MI
• Suspect if new-onset pulm edema + normal heart size
• Severe dyspnea, tachycardia, pulmonary edema
• Cardiogenic shock may develop
• S4, apical systolic murmur

Treatment

• Decrease pulmonary edema
  • O2, nitrates, diuretics
• Increase forward flow
  • Decrease afterload
  • Consider nitroprusside in normotensive pts

See Also

Valvular Emergencies

Source

Tintinalli