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Diagnosis Mistakes » Mitral regurgitation due to rheumatic fever

Mitral regurgitation due to rheumatic fever

Mitral regurgitation occurs most commonly in men due to rheumatic fever and dilattaion of the left ventricle. It is characterised by left ventricular failure features such as dyspnea, orthopnea and paroxysmal nocturnal dyspnea. With severe and chronic mitarl regurgitation right- sided failure occurs and pulamonary hypertension maybe a late finding. It must be differentiated from ventricular septal defect, hypertrophic obstructive cardiomyopathy and aortic stenosis. Medical treatment is aimed at relieving symptoms by increasing the cardiac output. For significantly limiting symptoms surgery must be considered.

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