A Clinical Case of Mitral Regurgitation

A clinician must decide the correct treatment for his patient at the right time Considering the pathology involved, patient must be advised or referred to an expert with best possible supportive treatment Share your views on this clinical case of Mitral Regurgitation by Dr. Alok Vishwakarma Follow us for more such updates!

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Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

A very illustrative presentation of a case of Mitral regurgitation by Dr Alok Vishwakarma Congratulations- Sir I just want add that LVEF in this case was significantly high at 82 % as against normal of 55 - 60 % which may be surprising to many . But there is a definite explanation in Acute MR when it is raised unlike other cardiac ailments where it is low . However in chronic MR it may come down In chronic mitral regurgitation the left ventricle dilates gradually. Left ventricular function is still above normal. In this stage the ventricle is able to compensate. The ventricle is able to cope with severe mitral regurgitation for long periods (even decades). However, eventually the ventricle will fail. This condition is referred to as "decompensated mitral regurgitation". At this point the ventricle dilates further and ejection fraction begins to drop - first to so-called normal values (50-60%) and then below normal. In acute MR the ejection fraction is high and the size of the left ventricle is normal or slightly enlarged (unadapted). In chronic MR the ejection fraction is supranormal and the left ventricle dilated (adapted). In decompensated MR the left ventricle is significantly enlarged and ejection fraction starts to drop. Dilated and hyperdynamic left ventricle in volume overload caused by chronic mitral regurgitation THANKS

NICE ILLUSTRATSTION WHEN WE TALK OF CASE OF MITRAL REGURGITATION AT PRESENT WE ARE IN THE ERA OF SUBSPECISLITIES PATIENTS ARE NOW AWARE.IF TGE HAVE GATRIC PROBLEM THEY TAKE ADVICE OF GASTROENTEROLOGIST OR NEPHROLOGY CASE GOES TO NEPHROLOGIST IF BY CHANCE THIS CASE OF MITRAL REGURGITATIO IS SEEN BY GP OR PHYSICIAN IT IS BETTER TO REFER THE PATIENT TO CARDIOLOGIST FOR PROPER MANAGEMENT

Good comprehensive and chronological presentation and correction or replacement of MV. Regular monitoring and constant evaluation required. There are lest doctors than patients and poverty illiteracy and so many other factors are there to address.

Thanks Dr Dinesh Gupta
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An important and educative post for me, thank you Sir for your valuable sharing.

Thank you Sir@Dr. Ashok Leel .
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Good case, great presentation. Mitral valve pathology has to be studied in detail, as to whether pathology is supra valvar, valvar or subvalvar to decide on management. Patient will require MV replacement. PAH is another worry.

MITRAL .REGURGITATION.. NICKLY ILLUSTRATED... USEFUL AND .INFORMATIVE UPDATE

Congratulations Dr.Alok Vishwakarma, uNicely presented & followed the case

Tq.dr.dinesh gupta
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Thank u for sharing

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