ࡱ> #%" @  bjbjVV .r<r<<<<8t  q$] R PPP+,,,P.,P,,, p0<~d,A0q,3 :3 ,3 ,, D$Mitral Stenosis 14/11/10 OH Examinations Book - most = Rheumatic heart disease - thickened, calcified leaflets - anterior mitral leaflet has characteristic hockey stick appearance (long axis view) -> fusion and reduced mobility @ tip but intact cusp mobility - tight fish mouth appearance in short-axis view Severity Assessment - LA dilation - AF - area: < 1cm2 (normally 4-6cm2) determined from pressure half time (valve area = 220/pressure half time) - gradient: > 10mmHg - pulmonary hypertension Jeremy Fernando (2010) ? S V a b i n t u      ѿѠю||ююm[Whu#huhu5CJOJQJ^JaJhu5CJOJQJ^JaJ#huhuCJH*OJQJ^JaJ#huhu5CJOJQJ^JaJhsKNCJOJQJ^JaJ huhuCJOJQJ^JaJ#hVhu6CJOJQJ^JaJhuCJOJQJ^JaJ h|nhuCJOJQJ^JaJhu5CJOJQJ^JaJ012STt = > ? S T b g      r Vr Vr Vr Vr Vr Vr Vr Vr Vr Vr Vr Vr Vr Vr Vr Vr Vr Vr Vr Vr Vr Vr Vr Vr r V$a$gdugdu  ,1h. A!"#$% @@@ uNormalCJ_HaJmH sH tH DAD Default Paragraph FontRiR  Table Normal4 l4a (k(No List4@4 uHeader  9r 4 @4 uFooter  9r  "&012STt =>?STbg0000000000000000 0 000000x002 2 2 03d '   ^ v58*urn:schemas-microsoft-com:office:smarttagsdate 11142010DayMonthYear48V_v~ im:::::::2=T+*"pGS\L.J'Ti<K}<er>0D(EQENsKN7PFIPDTb`bnb'yj~| 6Qwbuvg gZt<f::_-Ft3Fw@h^P@UnknownG:Ax Times New Roman5Symbol3& :Cx Arial5& :[`)Tahoma"qhtd|F LL!>43Q H)?DTbMitral StenosisJeremy FernandoJeremy FernandoOh+'0   < H T`hpxMitral StenosisJeremy FernandoNormalJeremy Fernando2Microsoft Word 10.0@d@(ȃ@RL՜.+,0 hp|   Mitral Stenosis Title  !$Root Entry F`&1Table WordDocument.SummaryInformation(DocumentSummaryInformation8CompObjj  FMicrosoft Word Document MSWordDocWord.Document.89q