IntroductionMitral stenosis refers to abnormal narrowing of the mitral valve.
MurmurSound: Mid-diastolic murmur, opening snap Loudest region: Mitral area (5th intercostal space, mid-clavicular line) Accentuation: Expiration, lateral decubitus position
Mid-diastolic murmur. Source: University of Michigan Murmur library
- Tricuspid stenosis
- Atrial myxoma
- ECG: may show atrial fibrillation and p-mitrale (broad, bifid P waves)
- Chest x-ray
- Blood cultures, if considering infective endocarditis