10 Questions
What is the initial consequence of the progressive dilation of the left ventricle due to eccentric hypertrophy?
Increased stroke volume
Which symptom is less severe in Acute MR compared to Chronic MR?
Holosystolic murmur
What is the preferred management for chronic primary MR?
Valve repair
In the management of acute primary MR, why should cardiology and cardiothoracic surgery be consulted early?
To plan for urgent surgical repair or valve replacement
What is a key indication for considering surgery in chronic secondary MR?
Patients with LVEF below 30%
What is the primary cause of secondary mitral regurgitation (MR)?
Coronary artery disease
Which condition is NOT listed as a cause of primary organic mitral regurgitation?
Coronary artery disease
What happens as a result of increased left ventricular (LV) end-diastolic volume in secondary MR?
Development of pulmonary edema
Which complication can arise from ruptured chordae tendinae in primary mitral regurgitation?
Infective endocarditis
How do dilated cardiomyopathy and left-sided heart failure contribute to secondary MR?
By causing rapid increases in LA and pulmonary pressure
Learn about the primary and secondary causes of mitral regurgitation, including degenerative mitral valve disease, rheumatic fever, infective endocarditis, and ischemic MR. Understand how functional changes in the left ventricle can lead to valvular incompetence.
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