See also: Murmurs
May be caused by
Progression/worsening of mitral valve prolapse
Myocardial infarction with papillary muscle ischemia and/or papillary muscle rupture causing secondary MR
Classically, this is caused by posteroseptal MIs, due to the solitary blood supply of the posterior medial papillary muscle, but it can occur with anterolateral MIs as well
Sx
Orthopnea
PE
Bibasilar crackles (among other signs of pulmonary edema)
Short systolic murmur that is decrease with squatting
Dx
Echocardiography
Should reveal floppy mitral valve
May eventually reveal enlarged L atrial size (chronic MR only)
Measurement of pulmonary capillary wedge pressure with a Swan-Ganz catheter would reveal increased pressure in the L atrium