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| '''For patient information click [[{{PAGENAME}} (patient information)|here]]''' | | __NOTOC__ |
| | {| class="infobox" style="float:right;" |
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| | | [[File:Siren.gif|30px|link=Mitral regurgitation resident survival guide]]|| <br> || <br> |
| | | [[Mitral regurgitation resident survival guide|'''Resident'''<br>'''Survival'''<br>'''Guide''']] |
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| | {{Mitral regurgitation}} |
| | {{Patient}} |
| | {{CMG}}; {{AE}} {{CZ}}, {{VK}}, {{LG}}, [[User:Mohammed Sbeih|Mohammed A. Sbeih, M.D.]] [mailto:msbeih@wikidoc.org], {{Rim}} |
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| {{DiseaseDisorder infobox | | | {{SK}} Mitral insufficiency; mitral regurge; mitral valve incompetence; MR; MI; leaky mitral valve |
| Name = Mitral regurgitation |
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| ICD10 = {{ICD10|I|05|1|i|05}}, {{ICD10|I|34|0|i|30}}, {{ICD10|Q|23|3|q|20}} |
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| ICD9 = {{ICD9|394.1}}, {{ICD9|424.0}}, {{ICD9|746.6}} |
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| ICDO = |
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| Image = Mitral valve insufficiency.jpg|
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| Caption = Mitral valve insufficiency with severe left atrial dilatation. <br> <small> [http://www.peir.net Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology] </small> |
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| OMIM = |
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| OMIM_mult = |
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| MedlinePlus = |
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| eMedicineSubj = emerg |
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| eMedicineTopic = 314 |
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| DiseasesDB = 8275 |
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| }}
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| {{SI}}
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| {{CMG}}
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| '''Associate Editor-In-Chief:''' {{CZ}}
| | ==[[Mitral regurgitation overview|Overview]]== |
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| {{Editor Help}}
| | ==[[Mitral regurgitation classification|Classification]]== |
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| =='''Overview'''==
| | ==[[Mitral Regurgitation Pathophysiology|Pathophysiology]]== |
| ===[[Mitral Regurgitation Overview|Overview]]===
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| | ==[[Mitral regurgitation causes|Causes]]== |
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| ==Pathophysiology== | | ==[[Mitral regurgitation differential diagnosis|Differentiating Mitral Regurgitation from other Diseases]]== |
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| ===[[Mitral Regurgitation Mechanisms|Mechanisms]]===
| | ==[[Mitral regurgitation epidemiology and demographics|Epidemiology and Demographics]]== |
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| ===[[Mitral Regurgitation Pathophysiology|Pathophysiology]]===
| | ==[[Mitral regurgitation natural history|Natural History, Complications and Prognosis]]== |
| [[Mitral Regurgitation Acute Phase|Acute Phase]] | [[Mitral Regurgitation Chronic compensated phase|Chronic compensated phase]] | [[Mitral Regurgitation Chronic decompensated phase|Chronic decompensated phase]]
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| ==Etiology==
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| [[Mitral Regurgitation Causes for Primary mitral regurgitation|Primary mitral regurgitation]] | [[Mitral Regurgitation Causes for Secondary mitral regurgitation|Secondary mitral regurgitation]]
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| ==Diagnosis== | | ==Diagnosis== |
| | | [[Mitral regurgitation stages|Stages]] | [[Mitral regurgitation history and symptoms|History and Symptoms]] | [[Mitral Regurgitation Physical Examination|Physical Examination]] | [[Mitral regurgitation chest x-ray|Chest X Ray]] | [[Mitral regurgitation electrocardiogram|Electrocardiogram]] | [[Mitral Regurgitation Echocardiography|Echocardiography]] | [[Mitral regurgitation cardiac MRI|Cardiac MRI]] | [[Mitral regurgitation cardiac catheterization|Cardiac Catheterization]] |
| ===[[Mitral Regurgitation Symptoms|Symptoms]]===
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| The symptoms associated with mitral regurgitation are dependent on which phase of the disease process the individual is in.
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| Individuals with acute mitral regurgitation will have the signs and symptoms of decompensated [[congestive heart failure]] (ie: [[shortness of breath]], [[pulmonary edema]], [[orthopnea]], [[paroxysmal nocturnal dyspnea]]), as well as symptoms suggestive of a low cardiac output state (ie: decreased exercise tolerance). Cardiovascular collapse with [[Shock (medical)|shock]] ([[cardiogenic shock]]) may be seen in individuals with acute mitral regurgitation due to papillary muscle rupture or rupture of a chordae tendineae.
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| Individuals with chronic compensated mitral regurgitation may be asymptomatic, with a normal exercise tolerance and no evidence of heart failure. These individuals may be sensitive to small shifts in their intravascular volume status, and are prone to develop volume overload ([[congestive heart failure]]).
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| ===[[Mitral Regurgitation Differential Diagnosis|Differential diagnosis]]===
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| ===[[Mitral Regurgitation Electrocardiogram|Electrocardiogram]]===
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| ===[[Mitral Regurgitation Chest x-ray|Chest x-ray]]===
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| ===[[Mitral Regurgitation Echocardiography |Echocardiography]]===
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| ===[[Mitral Regurgitation Aetiology and morphological features in 2-D Echocardiography |2-D Echocardiography]]===
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| [[Mitral Regurgitation Rheumatic Mitral regurgitation|Rheumatic Mitral regurgitation]] | [[Mitral Regurgitation Myxomatous mitral valve|Myxomatous mitral valve]] | [[Mitral Regurgitation Annular calcification|Annular calcification]] | [[Mitral Regurgitation Ischemic mitral regurgitation|Ischemic mitral regurgitation]] | [[Mitral Regurgitation Papillary muscle rupture|Papillary muscle rupture]] | [[Mitral Regurgitation Functional mitral regurgitation|Functional mitral regurgitation]] | |
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| ===[[Mitral Regurgitation Assessment of severity|Severity Assessment]]===
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| [[Mitral Regurgitation Colour flow mapping| Colour flow mapping]] | [[Mitral Regurgitation Continuous wave doppler|Continuous wave doppler]] | [[Mitral Regurgitation Pulse wave Doppler|Pulse wave Doppler]] | [[Mitral Regurgitation Vena contracta|Vena contracta]] | [[Mitral Regurgitation Pulmonary Venous Flow| Pulmonary Venous Flow]] | [[Mitral Regurgitation Regurgitant volume|Regurgitant volume]] | [[Mitral Regurgitation Proximal isovelocity surface area|Proximal isovelocity surface area]] | [[Mitral Regurgitation PISA radius|PISA radius]] | [[Mitral Regurgitation Regurgitant flow|Regurgitant flow]] | [[Mitral Regurgitation Effective regurgitant orifice area|Effective regurgitant orifice area]] | [[Mitral Regurgitation Diastolic Mitral Regurgitation Secondary to Severe Aortic Stenosis |Diastolic Mitral Regurgitation]]
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| ===[[Mitral Regurgitation Quantification of mitral regurgitation| Quantification]]===
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| ===[[Mitral Regurgitation Severity (Summary)|Severity (Summary)]]===
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| ==Treatment== | | ==Treatment== |
| | [[Mitral Regurgitation Treatment Overview|Overview]] | [[Acute mitral regurgitation treatment|Acute Mitral Regurgitation]] | [[Chronic mitral regurgitation treatment|Chronic Mitral Regurgitation]] | [[Mitral regurgitation surgery|Surgery]] | [[Mitral regurgitation follow up|Follow Up]] |
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| ===[[Mitral Regurgitation Acute mitral regurgitation|Acute mitral regurgitation]]=== | | ==Case Studies == |
| | [[Mitral regurgitation case study one|Case #1]] |
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| ===[[Mitral Regurgitation Chronic mitral regurgitation|Chronic mitral regurgitation]]===
| | [[Category:Valvular heart disease]] |
| | [[Category:Cardiology]] |
| | [[Category:Disease]] |
| | [[Category:Cardiac surgery]] |
| | [[Category:Surgery]] |
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| ===[[Mitral Regurgitation Surgical Options|Surgical Options]]===
| | {{WikiDoc Help Menu}} |
| [[Mitral Regurgitation Indications for surgery|Surgery Indications]] | [[Mitral Regurgitation Factors affecting timing of surgery|Timing of surgery]] | [[Mitral Regurgitation ACC/AHA Guidelines| ACC/AHA Guidelines]]
| | {{WikiDoc Sources}} |
