A 64 year old woman presents with progressive exertional dyspnea and orthopnea for 2 months. She had an inferior myocardial infarction 1 year ago. Cardiac examination reveals a high pitched holosystolic murmur best heard at the apex and radiating to the left axilla. Bibasilar crackles are present. Which of the following is the most likely valvular lesion?

  1. A)Hypertrophic cardiomyopathy
  2. B)Ventricular septal defect
  3. C)Mitral valve prolapse
  4. D)Aortic stenosis
  5. E)Mitral regurgitationGABARITO

Explicação

Mitral regurgitation is correct. A holosystolic blowing murmur at the apex that radiates to the axilla is classic for mitral regurgitation, and prior ischemic heart disease is a common cause due to papillary muscle dysfunction or left ventricular dilation. The... Ver explicação completa e trilha adaptativa →

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