title: Increased mitral valve insufficiency during precordial "whoop".
abstract: A patient with rheumatic mitral valve stenosis and regurgitation presented with shortness of breath and a "noise" in her chest. Cardiac auscultation revealed an intermittent late systolic "whoop." An increase in severity of mitral valve insufficiency during the periods of "whoop" was observed by pulsed Doppler, hemodynamic tracings and left ventriculography.
authors.affiliation: Division of Cardiology, Wayne State University, Detroit.
authors.forename: A
authors.initials: A
authors.lastname: Shaikh
authors.forename: M
authors.initials: M
authors.lastname: Alam
authors.forename: S P
authors.initials: SP
authors.lastname: Garg
mesh_terms: D000368:Aged; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006321:Heart / Q000000981:diagnostic imaging; D006326:Heart Auscultation; D006347:Heart Sounds; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology*; D010701:Phonocardiography; D011859:Radiography; D012214:Rheumatic Heart Disease / Q000000981:diagnostic imaging / Q000503:physiopathology