A 38 year old woman from a low resource setting presents with progressive dyspnea on exertion and occasional hemoptysis. She reports recurrent untreated sore throats as a child. On cardiac examination, there is an opening snap followed by a low pitched diastolic rumble heard best at the apex. Which of the following is the most likely diagnosis?
- A)Pulmonic stenosis
- B)Mitral stenosisGABARITO
- C)Atrial septal defect
- D)Tricuspid regurgitation
- E)Aortic regurgitation
Explicação
Mitral stenosis is correct. An opening snap with a diastolic rumble at the apex in a patient with a history suggestive of prior streptococcal pharyngitis is classic for rheumatic mitral stenosis. The narrowed valve elevates left atrial pressure, causing pulmon... Ver explicação completa e trilha adaptativa →