Mitral regurgitation
Acute I
S heard
i
a.IE
i
io
HOLOSYSTOLIC MURMUR
iii
E
I
dueto abnormality ordisease that affects componentsofMitral valve apparatus
Mihalleaflets
Hiiiii
Majorcauses
MC cause
dueto LVremodelling
Regurgitation
ofannular enlargement papilley
muscle displacement leaflet
, muscle
p cement leaflet
tethering or their combination
Pathophysiology
0 Resistance toLV emptying
B
iEK
sina.IE
is decreased
a
flow totheaorta la LA
decompressted
o LU in tothe LA
declined
o Rapid in LV Tension
As time
Eoiin.io
progresses
t
LV volume T Cas reguytition t
a
I
Reduced Cardiac Output
During early diastole
The distended CA empties rapidly Rapid descend
y
produtes
S tepidfilling sound
Cy
m gtjTEEoooE
LA compliance
Atrialfillingpressure LA Prominent
t
Pulmonary vein pressure P acute
Acute I
S heard
i
a.IE
i
io
HOLOSYSTOLIC MURMUR
iii
E
I
dueto abnormality ordisease that affects componentsofMitral valve apparatus
Mihalleaflets
Hiiiii
Majorcauses
MC cause
dueto LVremodelling
Regurgitation
ofannular enlargement papilley
muscle displacement leaflet
, muscle
p cement leaflet
tethering or their combination
Pathophysiology
0 Resistance toLV emptying
B
iEK
sina.IE
is decreased
a
flow totheaorta la LA
decompressted
o LU in tothe LA
declined
o Rapid in LV Tension
As time
Eoiin.io
progresses
t
LV volume T Cas reguytition t
a
I
Reduced Cardiac Output
During early diastole
The distended CA empties rapidly Rapid descend
y
produtes
S tepidfilling sound
Cy
m gtjTEEoooE
LA compliance
Atrialfillingpressure LA Prominent
t
Pulmonary vein pressure P acute