A 72yo man has been advised to have antibiotic prophylaxis for some years now before dental tx.
He has never experienced chest pain. Three weeks ago, he noticed breathlessness on exertion
and for one week he had orthopnea. His pulse is normal. What is the most probable dx?
a. Aortic regurgitation
b. Ischemic mitral regurgitation
c. Mitral valve prolapse
d. Pulmonary stenosis
e. Mitral valve stenosis
Ans. The kay is E. Mitral valve stenosis. [Mitral stenosis is the most common valvular complication of
rheumatic fever].