Tricuspid regurgitation masquerading as mitral regurgitation in patients with pure mitral stenosis
| Autor: | Lamberto G. Bentivoglio, Richard Gilman, William Likoff, Joseph F. Uricchio |
|---|---|
| Rok vydání: | 1958 |
| Předmět: |
medicine.medical_specialty
Mitral regurgitation Sternum medicine.diagnostic_test business.industry Mitral Valve Insufficiency General Medicine Regurgitation (circulation) Auscultation Tricuspid insufficiency medicine.disease Tricuspid Valve Insufficiency Lesion Stenosis Right ventricular hypertrophy Internal medicine cardiovascular system medicine Cardiology Humans Mitral Valve Stenosis cardiovascular diseases medicine.symptom business |
| Zdroj: | The American Journal of Medicine. 25:224-230 |
| ISSN: | 0002-9343 |
| DOI: | 10.1016/0002-9343(58)90028-7 |
| Popis: | panied by pulsating neck veins and liver. Partial confirmation may be provided by x-ray evidence of right atria1 enlargement and ventiicularization of the right atria1 pressure waves at the time of catheterization [I]. Although the lesion is accompanied by a systolic murmur which should be heard best at the lower end of the sternum or at the fourth left interspace, auscultation may not be helpful diagnostically The murmur often is obscured by the associated valve defects which dominate the clinical findings, or it is erroneously attributed to a non-existent lesion. This report concerns the latter problem. It records the fact that when there is marked right ventricular hypertrophy with clockwise rotation of the heart in patients with tricuspid insufficiency and mitral stenosis, the tricuspid murmur may extend toward the apex and may be mistaken for mitral insufficiency. It also examines the pathophysiologic background against which this misconception is most apt to arise. Finally, it emphasizes the importance of the error when patients are being evaluated for mitral commissurotomy, and discusses the methods by which the mistaken diagnosis may be avoided. |
| Databáze: | OpenAIRE |
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