Utilizing Cardiac POCUS for the Diagnosis of Dynamic Mitral Regurgitation

Abstract

We report a case of an elderly gentleman with recurrent episodes of flash pulmonary edema, initially attributed to hypertensive episodes. Cardiac point of care ultrasound (POCUS) revealed severe mitral regurgitation (MR), a finding underappreciated on transthoracic echocardiography and likely responsible for his repeated episodes of deterioration. Early recognition of dynamic MR expedited and guided targeted management of his valvular pathology. This case report highlights how serial cardiac POCUS can complement transthoracic echocardiography.