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7 Cards in this Set

  • Front
  • Back

Most common cause

Myxomatous degeneration of the mitral valve.

Features

1. Pansystolic murmur


2. Soft S1


3. Split S2

Features of severity.

As the mitral regurgitation becomes more severe the left ventricle enlarges.



1. Displaced Apex beat.


2. Systole thrill.

Most common reason for acute mitral regurgitation.

Rupture of the papillary muscles, inferior posterior infarction.

Reported incidence of papillary muscle rupture

1%

Which papillary muscle is most likely to rupture?

Posteromedial papillary muscle is twice as likely to rupture.

Why?

Posteromedial papillary muscle is frequently supplied by only one coronary artery. (Right coronary artery).



But the the anterolateral papillary muscle is most opensubtitle by two arterial systems. (LAD and circumflex)