Chronic Mitral Stenosis in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#17737
SMLE Question #17737
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 21-year-old primigravida at 20 weeks’ gestation attends routine antenatal follow-up. She had rheumatic fever in childhood with chronic mitral stenosis. She reports mild exertional dyspnea since becoming pregnant, with no chest pain, syncope, fever, or leg swelling. Examination shows a low-pitched mid-diastolic rumble at the apex with an opening snap and regular rhythm. Which pregnancy-related physiologic change most increases her risk of developing heart failure?
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