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

PhD, associate professor of the Department of Family

Russian Federation, Saint Petersburg

Svetlana O. Filippova

Tuberculosis Dispensary No. 5

Email: sofilippova@ptd5.spb.ru

Head of the Medical Consulting Department, Cardiologist

Russian Federation, Saint Petersburg

Igor A. Bozhkov

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

Email: glvr@ptd5.spb.ru

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

Russian Federation, Saint Petersburg

Diana A. Vrabiy

Tuberculosis Dispensary No. 5

Email: zavako@ptd5.spb.ru

Deputy Head for Clinical Expert Work, General Practitioner

Russian Federation, Saint Petersburg

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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