A patient complains of shortness of breath even after only mild exercise. She states that
she has had this condition for 2 years but recently has noticed that it has become more pronounced.
Her medical history indicates that she had rheumatic fever when she was a child.
Auscultation indicates an enlarged heart. What may the physician expect to find with
other diagnostic tests?
A. Mitral valve stenosis B. Tetralogy of Fallot C. Pulmonary artery aneurysm D. Coronary heart disease
Mitral valve stenosis-a person who has had rheumatic fever as a child may develop heart-valve disease later in
life. although the mitral valve is the one most commonly affected, the other valves may be also
be involved. the mitral valve becomes inflamed, fibrotic, eventually becoming incompetent or
stenotic. this condition leads to respiratory hypertension and eventual edema, thus restricting
respiratory function. the key here is a history of rheumatic fever, because those individuals are
predisposed to developing heart-valve diseases.