Case 32

Rajkumar Rajendram, Javed Ehtisham and Colin Forfar

in Oxford Case Histories in Cardiology

Published on behalf of Oxford University Press

Published in print March 2011 | ISBN: 9780199556786
Published online November 2012 | e-ISBN: 9780191753305 | DOI:

Series: Oxford Case Histories

Case 32

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A 30-year-old primigravida Gudjurati woman presented with increasing shortness of breath and swollen ankles. She was 14 weeks pregnant and spoke little English but denied previous medical or obstetric history. Examination revealed sinus rhythm, a loud first heart sound, an opening snap, and a mid diastolic murmur. Echocardiography confirmed moderate mitral valve (MV) stenosis (MS; valve area 1.2 cm2). She was started on frusemide, anticoagulated, and discharged home with cardiology outpatient follow-up.

Chapter.  2758 words. 

Subjects: Cardiovascular Medicine

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