Skip to main content

Left-Sided Heart Failure and Papillary Muscle Dysfunction

  • Chapter
  • 75 Accesses

Abstract

Papillary muscle dysfunction is an extremely rare complication of acute myocardial infarction. Ischemic or necrotic lesions may impair one or two of the papillary muscles to such an extent that the anchoring function and closure of the mitral valves is no longer effective. Without shortening of the papillary muscles in systole, coaptation of valve leaflets anchored by the chordae tendineae is inadequate which leads to a gap in closure. The result is mitral insufficiency with a holosystolic murmur that is heard best at the cardiac apex and radiates into the axilla. Occasionally, only a late systolic murmur is found indicating that the papillary muscle functions in early systole but later demonstrates its ischemia-induced functional impairment in being unable to maintain the state of contraction to the end of systole.

Keywords

  • Mitral Valve
  • Mitral Regurgitation
  • Papillary Muscle
  • Cardiogenic Shock
  • Pulmonary Artery Pressure

These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

This is a preview of subscription content, access via your institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • DOI: 10.1007/978-3-642-61627-3_6
  • Chapter length: 9 pages
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
eBook
USD   109.00
Price excludes VAT (USA)
  • ISBN: 978-3-642-61627-3
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
Softcover Book
USD   139.99
Price excludes VAT (USA)

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literature

  • Bussmann WD (1982) Disorders of cardiac function in acute myocardial infarction. In: Roskamm H, Csapo G (eds) Disorders of cardiac function. Dekker, New York Basel, pp 169–218

    Google Scholar 

  • Bussmann WD, Neumann K, Kaltenbach M (1980) Die Wirkung von Nitroglycerin auf die ventrikuläre Extrasystolie beim frischen Herzinfarkt. Dtsch Med Wochenschr 105: 369–373

    PubMed  CrossRef  CAS  Google Scholar 

  • Chatterjee K, Parmley WW, Swan HJC, Berman G, Forrester J, Marcus HS (1973) Beneficial effects of vasodilator agents in severe mitral regurgitation due to dysfunction of sub valvular apparatus. Circulation 48: 684–690

    PubMed  CAS  Google Scholar 

  • Chatterjee K, Ports TA, Parmley WFF (1979) Nitroprusside: Its clinical pharmacology and application in acute heart failure. In: Gould L, Reddy CVR (eds) Vasodilator therapy for cardiac disorders. Futura, Mount Kisco New York, pp 25–62

    Google Scholar 

  • Greenberg BH, Massie BM, Brundage BH, Botvinick EH, Parmley WW, Chatterjee K (1978) Beneficial effects of hydralazine in severe mitral regurgitation. Circulation 62: 181–187

    Google Scholar 

  • Harshaw CW, Grossman W, Munro AB, McLaurien LP (1975) Reduced systemic vascular resistance as therapy for severe mitral regurgitation of valvular origin. Ann Intern Med 83: 312

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and Permissions

Copyright information

© 1986 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Bussmann, WD. (1986). Left-Sided Heart Failure and Papillary Muscle Dysfunction. In: Acute and Chronic Heart Failure. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-61627-3_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-61627-3_6

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-64890-8

  • Online ISBN: 978-3-642-61627-3

  • eBook Packages: Springer Book Archive