drjctmd

Dr Jayachandran Thejus. Cardiologist with over 20 years of experience in both advance patient care and medical teaching. Hold license in UAE, India and has FSCAI fellowship from USA.

Mitral regurgitation

Mitral regurgitation Etiology and pathology Mitral valve apparatus- Papillary muscles Chordae tendineae Leaflets Annulus Common causes of MR- Rheumatic MVP CAD Cardiomyopathy (dilated, hypertrophic) IE Annular calcification List of causes of MR- Papillary muscles- CAD (ischemia, MI) Severe anemia Shock Amyloidosis Sarcoidosis Abscess Granuloma Neoplasm Dilated cardiomyopathy Trauma Rupture (MI) Parachute mitral valve Chordae tendineae-

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Mitral stenosis

Mitral stenosis Etiology MS is rheumatic in 99% cases. Rheumatic heart disease- Mitral – 65% Aortic- 35% Tricuspid- 6% Pulmonary- rare RHD is multivalvular in 38% cases. Rheumatic mitral valve disease- MS- 25% MS + MR- 40% Aschoff nodules are present in myocardium. Fish mouth or button hole appearance Correlation between pathology and type of

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