瓣膜病心脏是由于各种原因引起单个或.pdfVIP

A 25-year-old woman comes to the emergency department com ining of increasing dyspnea and orthopnea over the past 10 days. She is in the 32 weeks of pregnancy and reports several episodes of paroxysmal nocturnal dyspnea(夜间阵发性呼吸 ) for the last 4 nights. On arrival at the hospital she is given 60 mg of intravenous furosemide. However she does not improve upon diuresis. The family informs you that she has a history of rheumatic heart disease and rheumatic mitral stenosis. Her last echocardiogram revealed a mitral valve area of 1 2 cm . Medi