Article (Scientific journals)
Insuffisance mitrale dynamique et œdème pulmonaire aigu.
DELVENNE, Eléonore; Khaddi, S.; DULGHERU, Raluca Elena et al.
2021In Revue Médicale de Liège, 76 (7-8), p. 583-587
Peer reviewed
 

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Keywords :
Exercise Test; Humans; Middle Aged; Mitral Valve Insufficiency/diagnosis/diagnostic imaging; Pulmonary Edema/diagnosis/etiology; Stroke Volume; Ventricular Function, Left; Acute pulmonary edema; Dynamic mitral regurgitation; Exercise dyspnea; Valvulopathy
Abstract :
[en] We report the case of a 61-year old patient with signs and symptoms of heart failure with mid-range left ventricular ejection fraction and moderate mitral regurgitation of mixed etiology (rheumatic heart disease, toxic and ischemic). The dynamic behaviour of the mitral regurgitation was revealed by an acute episode of pulmonary edema in the context of an abrupt elevation of blood pressure inducing an increase in left ventricular afterload. Dynamic mitral regurgitation must be considered in any patient with exercise dyspnea who has a moderate mitral regurgitation in resting conditions or in patients with repeated acute pulmonary edema without an obvious cause. Exercise stress echocardiography is the best diagnostic test to explore the dynamic behaviour of the mitral regurgitation. Surgery or percutaneous treatment may be proposed in severe cases.
Disciplines :
Cardiovascular & respiratory systems
Author, co-author :
DELVENNE, Eléonore 
Khaddi, S.
DULGHERU, Raluca Elena ;  Centre Hospitalier Universitaire de Liège - CHU > Département de médecine interne > Clinique des valvulopathies - Echocardiographies - Imagerie
Habbal, R.
Lancellotti, Patrizio  ;  Université de Liège - ULiège > Département des sciences cliniques > Cardiologie - Pathologie spéciale et réhabilitation
Language :
French
Title :
Insuffisance mitrale dynamique et œdème pulmonaire aigu.
Alternative titles :
[en] Dynamic mitral regurgitation and acute pulmonary edema
Publication date :
2021
Journal title :
Revue Médicale de Liège
ISSN :
0370-629X
eISSN :
2566-1566
Publisher :
Université de Liège. Revue Médicale de Liège, Liège, Belgium
Volume :
76
Issue :
7-8
Pages :
583-587
Peer reviewed :
Peer reviewed
Available on ORBi :
since 03 October 2021

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