Exertional dyspnea, fatigue, palpitations
Geller, J.C.; Barkow, U.H.; Glänzer, K.; Vetter, H.
Schweizerische Rundschau für Medizin Praxis 78(4): 70-73
1989
ISSN/ISBN: 1013-2058 PMID: 2919257 Document Number: 334858
This 52-year old female patient suffered from exertional dyspnea, fatigue and palpitations progressive for some months. She had rheumatic fever in childhood. Physical examination and echocardiography revealed severe pure mitral regurgitation, invasive studies showed dilatation of the left atrium and ventricle, a regurgitant volume of 70% of the stroke volume and mitral valve replacement was performed.