Unsuspected mitral stenosis

Sherrid, Mark V.; Goyal, Amit; Delia, Ernest; Khoo, Gary; Heropoulos, Maria; McCabe, Joel; Dwyer, Edward M.

doi:10.1016/0002-9343(91)80158-i

Cited by 3 publications

(3 citation statements)

References 6 publications

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“…165,166 On examination, there may be a nondiagnostic or even no murmur despite severe valvular disease. [167][168][169] Aortic and mitral valve disease are most common. 165,166 Aortic regurgitation or stenosis mitral stenosis or regurgitation, and disease of the tricuspid or pulmonic valves can all cause dyspnea.…”

Section: Endocardial Diseasementioning

confidence: 99%

“…215 Valvular heart disease is often detected on examination, but failure to hear a murmur by no means rules it out. [167][168][169] A comprehensive literature review has documented the limitations of physical findings in the diagnosis of heart failure. 216 Therefore, it is not surprising that the history and physical (H&P) together may suggest an etiology of dyspnea if a presentation is typical but are often nondiagnostic and will rarely be pathognomonic for a specific diagnosis.…”

Section: Diagnostic Workup Of Chronic Dyspnea History and Physical Exmentioning

confidence: 99%

“…166,169 An electrophysiological study can detect inducible arrhythmias in the occasional patient for whom they are the cause of episodic dyspnea.…”

Section: Miscellaneous Diagnostic Studiesmentioning

confidence: 99%

See 2 more Smart Citations

A Clinical Approach to Chronic Dyspnea

Pratter

Bartter

Akers

et al. 2006

Clinical Pulmonary Medicine

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Dyspnea is a common and important symptom. A small number of categories of disease cause the majority of cases, but the full differential diagnosis is vast. Given the large number of potential causes and the many possible diagnostic tests, an organized approach to the workup of dyspnea is crucial. This article outlines the spectrum of potential causes of dyspnea, the relative use of various diagnostic tests, and suggests a tiered approach to diagnosis.

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Section: Endocardial Diseasementioning

confidence: 99%