Mitral stenosis typically progresses slowly ( over decades ) from the initial signs of mitral stenosis to NYHA functional class II symptoms to the development of atrial fibrillation to the development of NYHA functional class III or IV symptoms.
42.
"HIS IMAGE SUGGESTS THAT HE IS CHRONICALLY ILL AND SHORT OF BREATH AT REST _ EITHER CHRONIC MITRAL STENOSIS OR TUBERCULOSIS COULD PRODUCE THAT . . . I WILL SEE IF I CAN GET AN INTERNIST TO COMMENT IN THE NEXT TWELVE HOURS, " e-mailed Kveder to the nurse.
43.
In 1879 she received her medical doctorate from the Facult?de m�decine de Paris, where she wrote her thesis on mitral stenosis and its higher frequency in women than in men ( " Du r�tr�cissement mitral : sa fr�quence plus grande chez la femme que chez l'homme . " ).
44.
If mitral stenosis ( the hardening of flap of tissue known as a valve which opens and closes between the left atrium and ventricle to control blood flow ) is also present, blood will flow into the right atrium through the hole between the atria wall instead of flowing into the left ventricle and systemic circulation.
45.
Hope went into medical practice in December 1828 in Lower Seymour Street, Portman Square, London, and entered himself as a pupil at St . George's Hospital, where he was one of the early champions of auscultation . " He described a soft early diastolic murmur due to mitral stenosis and was the first to distinguiish it from the diastolic murmur of aortic reflux.
