Rheumatic Heart Disease: Types, Signs, and Symptoms of Mitral Stenosis

Rheumatic Heart Disease: Types, Signs, and Symptoms of Mitral Stenosis

Question. Write a classification of rheumatic heart diseases and discuss the signs and symptoms of mitral stenosis.

Answer.

Classification of Rheumatic Heart Diseases

Based on the severity of rheumatic heart disease.

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Symptoms Of Coronary Artery Disease

1. The patient complains of breathlessness and fatigue on exertion.
2. Progression of stenosis leads to dyspnea on rest and even orthopnea and paroxysmal nocturnal dyspnea.
3. Acute pulmonary edema can also occur.
4. Hemoptysis can be present due to rupture of pulmonary congestion and pulmonary embolism and cough due to pulmonary congestion.
5. Chest pain is present due to pulmonary venous hypertension.

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Signs Of Coronary Artery Disease

1. Atrial firillation is present.
2. Auscultation: Presence of loud first heart sound, opening snap, and mid-diastolic low ­pitched rumbling murmur best heard at the apex.
3. Signs of raised pulmonary capillary pressure: Pleural effusion,
4. Crepitation, pulmonary edema.
5. Signs of pulmonary hypertension: RV heave, Loud P2
6. Others: Basal crackles, ascites and pleural effusion