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Mitral Stenosis means the mitral valve becomes narrow, so blood cannot flow easily from the left atrium (LA) to the left ventricle (LV). Because of this: • The left atrium pressure increases • The LA becomes enlarged • Blood backs up to the lungs → shortness of breath • Severe cases lead to pulmonary hypertension, RV failure, and AFib. Physical Exam Findings • Diastolic murmur: Low-pitched “rumbling” • Opening snap after S2 • Louder in left lateral position • Best heard at apex • Signs of pulmon
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