Atypical Presentation of Acute Mitral Regurgitation Secondary to Papillary Muscle Rupture

Acute mitral regurgitation (MR) is a life-threatening condition presenting with severe decompensated heart failure due to sudden retrograde blood flow into the left atrium. The causes are broadly classified into ischemic and non-ischemic. Rapid and accurate diagnosis of acute MR and its potential ca...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2022-05, Vol.14 (5), p.e24744
Main Authors: Porwal, Kushal H, Porwal, Mokshal H, Ibrahim, Mohammed M, Ramaswamykanive, Hariharan, Gupta, Krishan, Mathur, Manu, Narasimhan, Seshasayee
Format: Article
Language:English
Subjects:
Cardiac arrhythmia
Cardiac/Thoracic/Vascular Surgery
Cardiology
Cardiovascular disease
Case reports
Coronary vessels
Edema
Ejection fraction
Endocarditis
Heart failure
Hemodynamics
Hospitals
Hypotension
Intensive care
Internal Medicine
Kidneys
Laboratories
Morbidity
Mortality
Patients
Peptides
Surgery
Trauma
Ultrasonic imaging
Vein & artery diseases
Citations: Items that this one cites
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Summary:Acute mitral regurgitation (MR) is a life-threatening condition presenting with severe decompensated heart failure due to sudden retrograde blood flow into the left atrium. The causes are broadly classified into ischemic and non-ischemic. Rapid and accurate diagnosis of acute MR and its potential causes is essential. This case uniquely highlights an atypical presentation of severe MR secondary to papillary muscle rupture without a known, identifiable cause. Therefore, suspicion of acute MR should be high if clinical symptoms are present, even without known risk factors, due to the high morbidity and mortality associated with delayed management.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.24744