Auscultation >S1. P2 is accentuated The opening snap(os) follows A2 >low-pitched, rumbling, diastolic murmur at the apex in the left lateral recumbent position The Graham Steell murmur of pulmonary regurgitation(PR) results from dilatation of the pulmonary valve ring 复旦大学附属中山医院 Zhongshan Hospital, Fudan University @
• Auscultation S1, P2 is accentuated The opening snap (OS) follows A2 low-pitched, rumbling, diastolic murmur at the apex in the left lateral recumbent position The Graham Steell murmur of pulmonary regurgitation (PR) results from dilatation of the pulmonary valve ring
Laboratory examination O ECG >P wave duration in lead>o12 s P wave axis between +45 and -30 degrees > suggests LA enlargement Atrial fibrillation 复旦大学附属中山医院 Zhongshan Hospital, Fudan University @
Laboratory Examination • ECG P wave duration in lead II >0.12 s P wave axis between +45 and -30 degrees suggests LA enlargement Atrial fibrillation
Normal Right Left RA RA LA LA RA LA RA RA ∧ RA LA LA A RV overload-tall P wave LA enlargement-notched, broad p wave 复旦大学附属中山医院 Zhongshan Hospital, Fudan University @
RV overload- tall P wave LA enlargement-notched, broad P wave
Biphasic p wave in VI a V1 个个个个个个个个个 复旦大学附属中山医院 Zhongshan Hospital, Fudan University @
Biphasic P wave in V1
° Echocardiography most sensitive and specific noninvasive method for diagnosing ms mitral orifice size, the presence and severity of accompanying Mr, the extent of restriction of valve leaflets cardiac chamber size, the Lv function 复旦大学附属中山医院 Zhongshan Hospital, Fudan University @
• Echocardiography most sensitive and specific noninvasive method for diagnosing MS mitral orifice size, the presence and severity of accompanying MR, the extent of restriction of valve leaflets cardiac chamber size, the LV function