title: [Exertional dyspnea, fatigue, palpitations].
abstract: This 52-year old female patient suffered from exertional dyspnea, fatigue and palpitations progressive for some months. She had rheumatic fever in childhood. Physical examination and echocardiography revealed severe pure mitral regurgitation, invasive studies showed dilatation of the left atrium and ventricle, a regurgitant volume of 70% of the stroke volume and mitral valve replacement was performed.
authors.forename: J C
authors.initials: JC
authors.lastname: Geller
authors.forename: U H
authors.initials: UH
authors.lastname: Barkow
authors.forename: K
authors.initials: K
authors.lastname: Glänzer
authors.forename: H
authors.initials: H
authors.lastname: Vetter
mesh_terms: D004417:Dyspnea / Q000209:etiology*; D005221:Fatigue / Q000209:etiology*; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D013610:Tachycardia / Q000209:etiology*
vernacular_title: Belastungsdyspnoe, Abgeschlagenheit, Palpitationen.