Ischemic mitral valve

1. ISCHEMIC MITRAL
VALVE
DR Muhammad Nouman Anjum (PGR)
Dr Nazio Rashid (PGR)
Dr Immama (HO)

11.  q

12. SYMPTOMS OF MR
Acute
Dyspnea
Fatigue
Orthopnea
Pulmonary
edema
Chronic
Asymptomatic
Syncope
Palpitation
Heart failur

13. SIGNS ON AUSCULTATION
S1 Diminished
S2 wide splitting(early
closure of AV)
S3 (Increased Blood flow
through MV)
Pansystolic apical murmur

17. INVESTIGATION
Cbc,RPMs,LFTs,S/E,Viral
marker screening,BSR
CXR
ECG
TTE/TEE
Angiography
Cardiac catheterization

21. MANAGEMENT
(MEDICAL & SURGICAL)
 Manage MI
 Inotropic support
 Diurtics
 Nitrates
 ACEis
 B blockers/ccb
 CABG+MVR in moderate
to severe MR
 Replacement in acute
severe symptomatic &
Chronic Symtomatic