Question

A 23-year-old woman complaining of dyspnea presents to the cardiologist. Upon examination, a diastolic rumble and opening snap are heard. The patient remembers having rheumatic fever at the age of 10. Her electrocardiogram demonstrated left atrial enlargement and right ventricular hypertrophy. The diagnosis is:

A. Aortic valve stenosis
B. Mitral regurgitation
C. Rhumatic mitral valve stenosis
D. Valvular pulmonic valve stenosis

Answer 1

The diagnosis for the patient's condition is rheumatic mitral valve stenosis.

Step-by-step explanation:

The diagnosis for the 23-year-old woman with dyspnea, a diastolic rumble, and an opening snap, along with a history of rheumatic fever, left atrial enlargement, and right ventricular hypertrophy is rhematic mitral valve stenosis. Rheumatic mitral valve stenosis is caused by scarring and stiffness of the mitral valve leaflets due to inflammation caused by cross-reacting antibodies from rheumatic fever. The narrowed mitral valve impedes the flow of blood from the left atrium to the left ventricle, causing symptoms like dyspnea and the characteristic heart sounds.