A case of finding of asymptomatic 3rd stage myxomatous degeneration of the mitral valve in general practice

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Abstract


The case of asymptomatic 3rd stage myxomatous degeneration of the mitral valve in a 42-year old male patient is presented. The patient was referred to Tuberculosis dispensary No. 5 for investigation of pathological findings revealed by fluorography during the coronavirus pandemic period. The patient was examined by TB specialists and the general practitioner in accordance with new interdisciplinary diagnostic algorithms primary involving the GP. As а result of the detailed investigation the patient was found to have previously undiagnosed consequences of pneumonia caused by COVID-19 and 3rd stage myxomatous degeneration of the mitral valve.


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About the authors

Irina V. Yubrina

North-Western State Medical University named after I.I. Mechnikov

Author for correspondence.
Email: yubrina@gmail.com

Russian Federation, Saint Petersburg

PhD, associate professor of the Department of Family

Svetlana O. Filippova

Tuberculosis Dispensary No. 5

Email: sofilippova@ptd5.spb.ru

Russian Federation, Saint Petersburg

Head of the Medical Consulting Department, Cardiologist

Igor A. Bozhkov

North-Western State Medical University named after I.I. Mechnikov; Tuberculosis Dispensary No. 5

Email: glvr@ptd5.spb.ru

Russian Federation, Saint Petersburg

Sc.D. in Medicine, Professor of Family Medicine Department

Diana A. Vrabiy

Tuberculosis Dispensary No. 5

Email: zavako@ptd5.spb.ru

Russian Federation, Saint Petersburg

Deputy Head for Clinical Expert Work, General Practitioner

References

  1. Алексанян Г.Г. Митральная недостаточность, обусловленная миксоматозной дегенерацией клапана: реконструкция и протезирование // Анналы хирургии. – 2013. – № 6. – С. 11–17. [Aleksanyan GG. Mitral regurgitation due to myxomatous degeneration of the valve: repair and replacement. Annaly khirurgii. 2013;(6):11-17. (In Russ.)]
  2. Adams DH, Rosenhek R, Falk V. Degenerative mitral valve regurgitation: best practice revolution. Eur Heart J. 2010;31(16):1958-1966. https://doi.org/10.1093/eurheartj/ehq222.
  3. Nishimura RA, Otto CM, Bonow RO, et al. 2014 AHA/ACC guideline for the management of patients with valvular heart disease: A report of the American college of cardiology/American heart association task force on practice guidelines. J Am Coll Cardiol. 2014;63(22):e57-185. https://doi.org/10.1016/j.jacc.2014.02.536.

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Copyright (c) 2020 Yubrina I.V., Filippova S.O., Bozhkov I.A., Vrabiy D.A.

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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