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Mitral Regurgitation - ECG , Chest X- Ray
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Chaitanya Chittimuri
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ECG and X ray findings in Mitral regurgitation
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Mitral Regurgitation - ECG , Chest X- Ray
1.
MITRAL REGURGITATION - ECG,
X-Ray Presenter: Dr. Chaitanya Chittimuri
2.
• CALIBRATION • RATE,RHYTHM •
AXIS • WAVE MORPHOLOGY • INTERVALS • ST SEGMENT Approaching ECG
3.
ECG changes in
MR • LA enlargement • LEFT AXIS DEVIATION / NORMAL AXIS / RIGHT AXIS DEVIATION • LVH / RVH • ATRIAL FIBRILLATION
4.
RATE,RHYTHM
5.
AXIS
6.
WAVES INTERVALS
7.
8.
X-Ray in MR •
VIEW • EXPIRATORY OR INSPIRATORY • MARKER LOCATION • EXPOSURE • CENTRALISATION • ABDOMINAL SITUS • BRONCHIAL SITUS • CARDIAC POSITION • CARDIAC APEX • CTR • CHAMBER ENLARGEMENTS • PULMONARY VASCULAR CHANGES
9.
10.
11.
210.10 imager mm 45.39
imager mm
12.
13.
14.
15.
16.
17.
PAH Grade X-Ray
findings Mild (25-40mmHg) MPA Dilatation Moderate (41-55mmHg) MPA Dilatation RD PA Dilatation (> 14mm) Peripheral pruning Severe (>55mmHg) MPA Dilatation (+/- Calcification) Hilar prominence Severe pruning Loss of retrosternal space (RV Enlargement PVH Grade X-Ray findings Mild (13-18mm Hg) Staghorn Sign Moderate (19-24mmHg) Kerley A,B,C lines Peribronchial Cuffing Severe (>25mm Hg) Cotton wool/Batwing appearance. Pleural edema. Ossific nodule. Left Ventricular Enlargement • CTR • LV Type Apex MITRAL VALVE CALIFICATION Left atrial enlargement • Straightening of the left heart border • Double atrial shadow • Elevated left bronchus • Widening of the carinal angle • Walking man sign • Posterior displacement of the esophagus
18.
Thank You
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