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Use Pulse Rhythm As A Clue
- Check the pulse for atrial fibrillation because AF is common in mitral valve disease and should raise suspicion for MR.
- Mention anticoagulation and any bruising when presenting findings, especially in older patients.
MR Enlarges Heart Without Early Pump Failure
- Chronic severe MR often produces a displaced, thrusting apex because volume overload preserves contractility early.
- Early severe MR can therefore mimic a 'working' enlarged heart rather than a failing one.
How To Describe A Mitral Regurgitation Murmur
- Describe MR as mid-to-late systolic when moderate, and pan-systolic when severe, loudest at the apex and radiating to the axilla.
- Mention accentuation with expiration and note ejection click in mitral valve prolapse cases.