Severe Mitral stenosis

Severe Mitral stenosis

Severe Mitral stenosis

Severe Mitral stenosis is suggested by all EXCEPT

[A] Holodiastolic murmur
[B] Long A2-OS interval
[C] Loud P2
[D] Elevated JVP with CV waves

Severe Mitral stenosis

Severe Mitral stenosis

Severe mitral stenosis – Short A2-OS interval

Severe Mitral stenosis

Severe Mitral stenosis is suggested by

(1) Long or holodiastolic murmur, indicating a persistent LA-LV gradient,

(2) Short A2-OS interval, consistent with higher LA pressure,
(3) Loud P2 (or single S2) and/or an RV lift, suggestive of pulmonary hypertension

(4) Elevated JVP with CV waves, hepatomegaly, and lower extremity edema—all signs of right heart failure.

“Maltese cross formations” on the blood film are diagnostic

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