Findings in a case of advanced mitral stenosis include-: (A) Low pulse pressure, (B) LVH, (C) Exercise induced angina, (D) None
Answer is A. The normal left ventricular diastolic pressure is 5 mmHg. A pressure gradient across the mitral valve of 20 mmHg due to severe mitral stenosis will cause a left atrial pressure of about 25 mmHg. With the loss of the atrial kick where has in advanced disease there is low pulse pressure Ref Davidson 23rd edition pg 434