Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Silent mitral regurgitation.

R Rasaretnam, N J Wallooppillai, A T Paul

    Australian and New Zealand Journal of Medicine
    |February 1, 1975
    PubMed
    Summary
    This summary is machine-generated.

    Significant mitral regurgitation without typical heart murmurs is rare but important, especially with mitral stenosis. This study presents two cases of silent mitral incompetence, highlighting key diagnostic indicators.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Apoptosis inducing activity of steroidal constituents from Solanum xanthocarpum and Asparagus racemosus.

    Phytomedicine : international journal of phytotherapy and phytopharmacology·2010
    Same author

    Leiomyosarcoma of the inferior vena cava.

    The Ceylon medical journal·1998
    Same author

    Sternal osteomyelitis.

    The Ceylon medical journal·1998
    Same author

    Donor valves as substitutes for heart valve replacement.

    The Ceylon medical journal·1997
    Same author

    The constricted heart--new concepts on etiology, pathogenesis and function.

    The Ceylon medical journal·1984
    Same author

    Presidential address 1980. Heart disease in Sri Lanka--an over view.

    The Ceylon medical journal·1980
    Same journal

    Gastroenterological Society of Australia, Annual Scientific Meeting, May 1980.

    Australian and New Zealand journal of medicine·2020
    Same journal

    'A touch of sugar'--a dangerous euphemism still alive and well.

    Australian and New Zealand journal of medicine·2001
    Same journal

    Silent myocardial ischaemia following methysergide overdose.

    Australian and New Zealand journal of medicine·2001
    Same journal

    Extensive jugular and upper limb thrombosis in a patient with factor V Leiden mutation and non-Hodgkin's lymphoma.

    Australian and New Zealand journal of medicine·2001
    Same journal

    Visual loss as the presenting feature of giant cell arteritis.

    Australian and New Zealand journal of medicine·2001
    Same journal

    Lymphoproliferative disease causing angioedema--an uncommon association.

    Australian and New Zealand journal of medicine·2001
    See all related articles

    Area of Science:

    • Cardiology
    • Cardiac Surgery
    • Clinical Medicine

    Background:

    • Significant mitral regurgitation (MR) typically presents with characteristic auscultatory findings, including a holosystolic murmur and third heart sound.
    • The absence of these signs in the presence of substantial MR, termed silent mitral incompetence, is unusual and clinically significant.
    • This condition is particularly relevant in contexts where mitral stenosis is treated with closed mitral valvotomy, as MR may coexist.

    Observation:

    • Two cases of "silent" mitral regurgitation, lacking characteristic auscultatory signs, are presented.
    • Key indicators suggesting coexisting mitral regurgitation with mitral stenosis included significant cardiomegaly and left atrial dilatation.
    • Electrocardiography revealed right ventricular hypertrophy disproportionate to the degree of mitral stenosis, suggesting biventricular hypertrophy.

    Related Experiment Videos

    Findings:

    • The study highlights that significant mitral regurgitation can occur without the classic auscultatory findings.
    • Diagnostic clues for concurrent mitral regurgitation and mitral stenosis include specific echocardiographic and electrocardiographic findings.
    • These findings suggest that a thorough evaluation beyond auscultation is necessary for accurate diagnosis.

    Implications:

    • This challenges traditional diagnostic approaches for mitral valve disease.
    • It underscores the importance of considering "silent" mitral regurgitation in patients with mitral stenosis, particularly those undergoing or considered for closed mitral valvotomy.
    • Improved diagnostic criteria can lead to better patient stratification and surgical outcomes for complex mitral valve pathologies.