Pathophysiology and Diagnosis of Pulmonary Hypertension Due to Left Heart Disease
enlarged right pulmonary artery :: Article Creator Mitral Stenosis - Diagnosis The ECG in mitral stenosis is often normal early in disease. The most common finding is left atrial enlargement (p-mitrale), however this finding disappears if the patient enters atrial fibrillation. Right heart strain may produce findings of right axis deviation and right ventricular hypertrophy on ECG. In pure mitral stenosis, left ventricular hypertrophy would be absent. The chest radiograph will again show left atrial enlargement. This finding is often referred to as a "double density". Elevation of the left mainstem bronchus and a prominent pulmonary artery may also be seen. Both the ECG and the chest radiograph, however, are non-specific for mitral stenosis. Echocardiography is the primary means to both diagnose and evaluate the severity of MS. Since transmitral velocities can be determined, the transmitral pressur...