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Physical examination

Physical examination. Body weight is often low ; asthenic Blood pressure is usually normal or low Orthostatic hypotension Thoracic skeletal abnormalities suggesting MVP: Scoliosis, pectus excavatum , straightened thoracic spine, and narrowed AP dm of the chest.

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Physical examination

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  1. Physical examination • Body weight is often low ; asthenic • Blood pressure is usually normal or low • Orthostatic hypotension • Thoracic skeletal abnormalities suggesting MVP: • Scoliosis, pectusexcavatum, straightened thoracic spine, and narrowed AP dm of the chest Zippes, D., et al. (2005) Braunwald’s Heart Disease: A textbook of Cardiovascular Medicine, 7th ed. USA: Elsevier Saunders

  2. Auscultation: • Nonejection systolic click at least 0.14 sec after S1 • Multiple mid and late systolic clicks along the L lower sternal border • Mid to late crescendo systolic murmur that continues to A2 Zippes, D., et al. (2005) Braunwald’s Heart Disease: A textbook of Cardiovascular Medicine, 7th ed. USA: Elsevier Saunders

  3. Dynamic Auscultation: Zippes, D., et al. (2005) Braunwald’s Heart Disease: A textbook of Cardiovascular Medicine, 7th ed. USA: Elsevier Saunders

  4. Dynamic Auscultation: Response of the Murmur of MVP to Interventions Fuster, V.,et al. (2008) . Hurst’s The Heart, 12the ed. China: McGrawHill Co.

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