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MEDISYNERGY
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เข้าร่วมเมื่อ 28 ก.ค. 2020
STILL EXPLORING ND EXPANDING
Hello guys, This is Dr. Yogesh Parihar, Your friendly Neighbourhood Medico.
Thank you for visiting my channel.
Please do subscribe channel and share videos with your friends.
Disclaimer: We are student, we study and we make videos. We give our 100% & try to be 100% correct but sometimes mistake occur with us, If mistake occur forgive us and let us know in comment section so we update correction in description and in pin comment.
Instagram : medi_synergy
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Thank you. 😍 🔥
Hello guys, This is Dr. Yogesh Parihar, Your friendly Neighbourhood Medico.
Thank you for visiting my channel.
Please do subscribe channel and share videos with your friends.
Disclaimer: We are student, we study and we make videos. We give our 100% & try to be 100% correct but sometimes mistake occur with us, If mistake occur forgive us and let us know in comment section so we update correction in description and in pin comment.
Instagram : medi_synergy
Telegram : MEDISYNERGY
Thank you. 😍 🔥
Mitral Regurgitation (etiology, pathogenesis, clinical features, murmur, diagnosis & treatment)
#mitralregurgitation #MR #Hindi
Topic Covered :
Mitral Regurgitation Basics
Etiology
Acute MR
Chronic MR
Pathogenesis
Clinical Manifestations
Physical Signs
Diagnosis
Treatment : Medical Therapy & Surgical Therapy
MITRAL REGURGITATION
Mitral regurgitation is backflow of blood from the left ventricle into the left atrium, due to inadequate functioning (insufficiency) of the mitral valve, most commonly from ischemia. Men more than women.
The etiology of mitral regurgitation is due to abnormalities of the mitral leaflets, annulus, and chordae tendineae. Common causes include hypertension, CHF, ischemic heart disease, rheumatic fever, and any cause of dilation of the left ventricle.
Acute MR :
Rupture chordae tendineae (permits prolapse of a portion of a mitral valve leaflet into the left atrium)
Papillary muscle rupture
Endocarditis (may lead to valvular destruction)
Trauma
Chronic :
Rheumatic heart disease (causing scarring and retraction of valve and leaflets)
Papillary muscle dysfunction
Mitral valve prolapse (click-murmur syndrome, Barlow syndrome, floppy mitral valve)
Endocarditis
Calcification of the mitral valve annulus Accompanying hypertrophic obstructive cardiomyopathy
Congenital endocardial cushion defect, corrected transposition
Endocardial fibroelastosis
Severe left ventricular dilatation
Pathogenesis
A portion of the left ventricular stroke volume is pumped backward into the left atrium instead of forward into the aorta, resulting in increased left atrial pressure and decreased forward cardiac output.
Traditional measurement of the cardiac output by EF may be normal, since the LV empties well. It is just not all in the correct direction. A regurgitant fraction needs to be estimated by Doppler during echocardiography. Volume overload occurs, increasing preload.
Afterload is decreased as the left ventricle empties part of its contents into the relatively low-pressure left atrium.
This helps to compensate for the regurgitation by augmenting ejection fraction.
Left ventricular dysfunction occurs after prolonged compensation.
Clinical Manifestations
Left ventricular failure is manifested by dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.
Severe and chronic mitral regurgitation lead to right-sided failure, presenting with edema, ascites, anorexia, and fatigue.
Pulmonary hypertension may be a late finding.
Physical Signs
Hyperdynamic and displaced (downward and to the left) left ventricular impulse
Carotid upstroke diminished in volume but brisk
Holosystolic apical murmur radiating to the axilla and often accompanied by a thrill
S3 heard with a soft S1 and widely split S2 Distended neck veins when severe or acute
Diagnosis
EKG shows signs of left ventricular hypertrophy and left atrial enlargement. Chest x-ray shows cardiac enlargement, with vascular congestion when the regurgitation has led to heart failure.
Echocardiography (best first test): The mitral valve can prolapse into the left atrium during systole in cases of a ruptured chordae or mitral valve prolapse. Regardless of the cause, left atrial and left ventricular enlargement occurs if the condition is chronic.
Left-heart catheterization is the single most accurate test.
Treatment. Medical therapy. The goal is to relieve symptoms by increasing forward cardiac output and reducing pulmonary venous hypertension. ARBs/hydralazine, arteriolar vasodilators (ACE inhibitors), digitalis, and diuretics are used.
Surgical therapy. Mitral valve replacement is indicated when symptoms persist despite optimal medical management.
Indicated with significantly limiting symptoms and severe mitral regurgitation; the risk of surgery rises in chronic heart failure.
Indicated when symptoms persist despite optimal medical management. Repair is preferable to replacement.
Patients with regurgitation but few symptoms should defer surgery, as their condition may remain stable for years.
Intregated Videos :
th-cam.com/play/PL6.html...
Mitral Valve Prolapse :
m.th-cam.com/video/WjXk_jGIFnU/w-d-xo.html
Ventricular Septal Defect :
th-cam.com/video/iwFKSzRMpng/w-d-xo.html
Patent Ductus Arteriosus :
th-cam.com/video/Mh1yFv9dBAY/w-d-xo.html
Atrial Septal Defect :
th-cam.com/video/I9A_pybUcD4/w-d-xo.html
Internal Medicine : cardiology
th-cam.com/play/PL6.html...
Instagram :
medi_synergy
Medical disclaimer: MEDISYNERGY does not provide medical advice. MEDISYNERGY and the content available on TH-cam , TELEGRAM & INSTAGRAM do not provide a diagnosis or other recommendation for treatment and are not a substitute for the professional judgment of a healthcare professional in diagnosis and treatment of any person or animal.
Tags :
#whatismitralregurgitation #whatismr #mitralregurgitationhindi #NEETPG #INICET #FMGE #NEXTEXAM #NEXT2023
Topic Covered :
Mitral Regurgitation Basics
Etiology
Acute MR
Chronic MR
Pathogenesis
Clinical Manifestations
Physical Signs
Diagnosis
Treatment : Medical Therapy & Surgical Therapy
MITRAL REGURGITATION
Mitral regurgitation is backflow of blood from the left ventricle into the left atrium, due to inadequate functioning (insufficiency) of the mitral valve, most commonly from ischemia. Men more than women.
The etiology of mitral regurgitation is due to abnormalities of the mitral leaflets, annulus, and chordae tendineae. Common causes include hypertension, CHF, ischemic heart disease, rheumatic fever, and any cause of dilation of the left ventricle.
Acute MR :
Rupture chordae tendineae (permits prolapse of a portion of a mitral valve leaflet into the left atrium)
Papillary muscle rupture
Endocarditis (may lead to valvular destruction)
Trauma
Chronic :
Rheumatic heart disease (causing scarring and retraction of valve and leaflets)
Papillary muscle dysfunction
Mitral valve prolapse (click-murmur syndrome, Barlow syndrome, floppy mitral valve)
Endocarditis
Calcification of the mitral valve annulus Accompanying hypertrophic obstructive cardiomyopathy
Congenital endocardial cushion defect, corrected transposition
Endocardial fibroelastosis
Severe left ventricular dilatation
Pathogenesis
A portion of the left ventricular stroke volume is pumped backward into the left atrium instead of forward into the aorta, resulting in increased left atrial pressure and decreased forward cardiac output.
Traditional measurement of the cardiac output by EF may be normal, since the LV empties well. It is just not all in the correct direction. A regurgitant fraction needs to be estimated by Doppler during echocardiography. Volume overload occurs, increasing preload.
Afterload is decreased as the left ventricle empties part of its contents into the relatively low-pressure left atrium.
This helps to compensate for the regurgitation by augmenting ejection fraction.
Left ventricular dysfunction occurs after prolonged compensation.
Clinical Manifestations
Left ventricular failure is manifested by dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.
Severe and chronic mitral regurgitation lead to right-sided failure, presenting with edema, ascites, anorexia, and fatigue.
Pulmonary hypertension may be a late finding.
Physical Signs
Hyperdynamic and displaced (downward and to the left) left ventricular impulse
Carotid upstroke diminished in volume but brisk
Holosystolic apical murmur radiating to the axilla and often accompanied by a thrill
S3 heard with a soft S1 and widely split S2 Distended neck veins when severe or acute
Diagnosis
EKG shows signs of left ventricular hypertrophy and left atrial enlargement. Chest x-ray shows cardiac enlargement, with vascular congestion when the regurgitation has led to heart failure.
Echocardiography (best first test): The mitral valve can prolapse into the left atrium during systole in cases of a ruptured chordae or mitral valve prolapse. Regardless of the cause, left atrial and left ventricular enlargement occurs if the condition is chronic.
Left-heart catheterization is the single most accurate test.
Treatment. Medical therapy. The goal is to relieve symptoms by increasing forward cardiac output and reducing pulmonary venous hypertension. ARBs/hydralazine, arteriolar vasodilators (ACE inhibitors), digitalis, and diuretics are used.
Surgical therapy. Mitral valve replacement is indicated when symptoms persist despite optimal medical management.
Indicated with significantly limiting symptoms and severe mitral regurgitation; the risk of surgery rises in chronic heart failure.
Indicated when symptoms persist despite optimal medical management. Repair is preferable to replacement.
Patients with regurgitation but few symptoms should defer surgery, as their condition may remain stable for years.
Intregated Videos :
th-cam.com/play/PL6.html...
Mitral Valve Prolapse :
m.th-cam.com/video/WjXk_jGIFnU/w-d-xo.html
Ventricular Septal Defect :
th-cam.com/video/iwFKSzRMpng/w-d-xo.html
Patent Ductus Arteriosus :
th-cam.com/video/Mh1yFv9dBAY/w-d-xo.html
Atrial Septal Defect :
th-cam.com/video/I9A_pybUcD4/w-d-xo.html
Internal Medicine : cardiology
th-cam.com/play/PL6.html...
Instagram :
medi_synergy
Medical disclaimer: MEDISYNERGY does not provide medical advice. MEDISYNERGY and the content available on TH-cam , TELEGRAM & INSTAGRAM do not provide a diagnosis or other recommendation for treatment and are not a substitute for the professional judgment of a healthcare professional in diagnosis and treatment of any person or animal.
Tags :
#whatismitralregurgitation #whatismr #mitralregurgitationhindi #NEETPG #INICET #FMGE #NEXTEXAM #NEXT2023
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Sir pls murmur ki video banaiye
Sir pls murmur ki video banaiye
Ejection systolic murmur per bhi video banaiye
Sir pls phenocardiogram per video banaiye
Bhai first year ke baad hostel change hoga
What is difference between ksma main campus and ksma new campus.... ???
🎉 0:34
Bhut dra rhe hai prolapse ka maening kharab nhi hota hai
Thank you for making such a complicated topic palatable 😄
Glad it was helpful!
this vedio makes me hurt its not about my concern vedio dor dor tk fir v dkh rhi ho
Mujhy pain nahi hota sirf darkan tez hoti hai khud ba khud
Meri darkan tez hojati hai men mild digree prolapse hai men koya krun
Same problem bhai kya kiya ab😢
Hello
Solid explanation on MR 😊
Sir mera mild mitral valve prolapse aya hain aur muje chest aur back mein pain hotai. Muscle cramps type.Muje synus bradychardia bhi aya hain
Bhai mujhe bhi yahi problem hai mitral valve prolapse ki 😢😢 Bhai apka mobile number chahiye
@@SalmanShaikh-zw6te bro mera issue spontaneous pnuemothorax tha ct scan kia tab pata chala aap bhi plz check karlo mitral valve wala scene mera mild hain usse muje taklif nai hori thi reason kuch aur tha both lungs were moderate to severly collapsed. Bc bohot time laga pata karne mein mein samaj kuch aur raha tha aur nikala kuch aur
@@Halfgineer_ ok bhai
How much is gym memberships?
👏👏 Thank u bhai kl ye topic padhana tha mujhe ab mai ache se explain kr sakti hu🙌
Sir.namsta.echo.repot.trace.mr.parbalam.hotihai.sir.
Nhi koi problem nhi hai
Apki KSMA university mey mbbs ka course duration 5 +1 year internship bhi hai ?
Integral gym hai college mein ?
Thank you I want to come can you please tell me about fee structure
Amazing
सर मेरी बहन का एक वाल्व सुकूड़ गया है dr. ऑपरेशन करने की सलाह दे रहे है सर सलाह दे
Aap log lab coat or cap kaha se kharide y mila hai,please
Osh bazar
Hii sir....maine isi University me try Kiya hai agent ke through bt confirmation letter nhiii aa rha 3 months ho gye hai...1 month se woh delay kr rha hai flight... will uh help me?
Contact me on WhatsApp +919713570751
Pakistan ky students alag hostal me hoty h ?? Un se contect ky lye hostal me PTCl hoty h???
G hostels alg hoty hn mgr ptcl nhi hoty hn
Nice
सर पीछले तीन महीने से लेफ्ट चेस्ट पेन हाथ पेन और कंधे में पैन कभी कभी गले के लेफ्ट साइड भारी पन लगता है मैंने ईसीजी ईको दो दो बार करवाया लेकिन नॉर्मल आया है डॉक्टर बोल रहा है ठीक हो तुम लेकिन पैन कम नही होता है सांस की तकलीफ़ कभी कभी होती हैं लेकिन कभी ज्यादा कभी कम पेन 24घंटे रहता है तो आप प्लीज बताओ और कोनसा जांच करवाऊ
हैलो, कृपया TH-cam या Google पर उपचार की खोज न करें, यह वीडियो केवल शैक्षिक उद्देश्य के लिए है, कृपया विशेषज्ञ, हृदय रोग विशेषज्ञ से परामर्श लें।
Can you tell me about package and non package hostels
25-30 lakhs for package students . including hostel+ mess + tution fee . For more information contact: +919713570751 (WhatsApp)
Tab coansi लेने chi a
हैलो, कृपया TH-cam या Google पर उपचार की खोज न करें, यह वीडियो केवल शैक्षिक उद्देश्य के लिए है, कृपया विशेषज्ञ, हृदय रोग विशेषज्ञ से परामर्श लें।
Fees submit in semester wise or yearly wise
Semester wise. For more information please contact on WhatsApp number : +919713570751
Total fee of mbbs ?
25-30 lakhs .
Bhai ECO karaya mild mitral valve prolapse report aaaya hai bhai chest pain hota hai kuch solution diyo bhai plzzz🥲🥲
हैलो, कृपया TH-cam या Google पर उपचार की खोज न करें, यह वीडियो केवल शैक्षिक उद्देश्य के लिए है, कृपया विशेषज्ञ, हृदय रोग विशेषज्ञ से परामर्श लें।
Same mere bhi mitral valve prolapse aaya h. Ab kesa h apke ? Thik hua ?
Mujhe bhi hai or mai beta blocker le raha hu
Normal hai ,ye bachpan se hi hota hai jb diagnose kiya jata hai tb hi pta chlta hai,isse koi problem nhi ,jb tk severe MR na ho isliye agr pain hota to to dr ne dwai di hogi beta blocker nd pain killer vo lo or tension free rho ,ye bdhta nhi hai lekin aapko 1 saal me echo Karna chaiaye ki kahi leakage to nhi bs itna karna hai baki or kuch nhi or dwai lo jb tk dr kahe,me isliye bta rha kyuki ye same problem mere hai isliye bhai tension free rho
@@himanshugarg9566bhai apka number send karo😢😢
Clear explanation..thank you sir
New admission karna he
hello please contact to +919713570751
on WhatsApp
@@MEDISYNERGY fee kitna ha bhsi
@@technicalaz-rs8xd please contact on WhatsApp : +919713570751
Admsionkarna he
Please contact us on WhatsApp: +919713570751
Bhai
Me sir bisoprolol 5mg Leta hu 5 yersh 6a
हैलो, कृपया TH-cam या Google पर उपचार की खोज न करें, यह वीडियो केवल शैक्षिक उद्देश्य के लिए है, कृपया विशेषज्ञ, हृदय रोग विशेषज्ञ से परामर्श लें।
Ani deva ki
Bhaiya plzz KSMA k baare m or video upload kijiye na
Already uploaded .
@@MEDISYNERGY according to latest NMC rule
Excellent sir.. Thank you
Thanku...
Sir grade 2 mvp is badi problem hai? Kya ye series hai or hamare baby me ye problem aane k chances hai?
Sir is there any Scholarship for forners
Can you give me a video about KYSMA girls hostel's details please ??
For girls separate hostel. Which is Hostel 8 near to My hostel
Sir how to cure it
Tank u sir❤️
Bhai inside hostel or mess k baare mein orr batao.....
Sir mera mitral valve proplase hai
Whats ur age
26 sir
How are you now. Do you have any symptoms?
Sir abhi to thik hu ciplar 40 leleta hu dhadkan tezz hone pe
@@aaravpalwar424 Ok take care, wish you good health. I also have Mild mvp, mr.
Issykul walon ko dusre campus me nhi jana hota na?? Sab regional campus me hi study hoti he right?
Padhai aur rehna sab door door he kya??
Han , hostel university se kuch hi doori par hai .
@@MEDISYNERGY class k timings wagera kya hote he? Self study ka time dete he? And complete English me padhate he ya fir local language me padhate he? Aur ye pdf wala masla phir paise dekr pass krenge? Ye sab sach he?
Can you please message on Instagram page : MEDISYNERGY