Читать книгу Practical Cardiovascular Medicine - Elias B. Hanna - Страница 128

Patients with either MR or VSR present with cardiogenic shock and pulmonary edema.

 Pulmonary edema is less marked with VSR than with MR. Patients with VSR can typically lie supine, which is not the case with MR.

 The murmur may be faint or absent with acute MR, because of the near-equalization of LV and LA pressures. The murmur is usually loud in VSR and is associated with a thrill at the left lower sternal border.