Mitral valve stenosis Y descent seen on the wedge tracings. If a trans-septal puncture is made during right heart catheterization, however, the pressure gradient can accurately quantify the severity of mitral stenosis. Chest X-ray may also assist in diagnosis, showing left atrial enlargement. Electrocardiography may show "P mitrale", that is, broad, notched P waves in several or many leads with a prominent late negative component to the P wave in lead V, and may also be seen in mitral regurgitation, and, potentially, any cause of overload of the left atrium. Thus, "P-sinistrocardiale" may be a more appropriate term. Treatment is not necessary in
Gold Is Where You Find It Gold Is Where You Find It Gold is Where You Find It is a 1938 American romantic drama film directed by Michael Curtiz and starring George Brent, Olivia de Havilland, and Claude Rains. Based on a story by Clements Ripley, with a screenplay by Warren Duff and Robert Buckner, the film is about the rivalry between farmers and miners in the Sacramento valley 30 years after the California Gold Rush. The feud between the two factions is complicated when a man from one side and a woman from the other fall in love. This Technicolor feature film was released on