Mitral valve stenosis most cases, the diagnosis of mitral stenosis is most easily made by echocardiography, which shows left atrial enlargement, thick and calcified mitral valve with narrow and "fish-mouth"-shaped orifice and signs of right ventricular failure in advanced disease. It can also show decreased opening of the mitral valve leaflets, and increased blood flow velocity during diastole. The trans-mitral gradient as measured by Doppler echocardiography is the gold standard in the evaluation of the severity of mitral stenosis. Another method of measuring the severity of mitral stenosis is the simultaneous left and right heart chamber catheterization. The right heart catheterization (commonly known
Where Would You Be Where Would You Be "Where Would You Be" is a song written by Rachel Proctor and Rick Ferrell, and recorded by American country music singer Martina McBride. It was released in May 2002 as the third single from her "Greatest Hits" album. The song peaked at number 3 on the U.S. "Billboard" Hot Country Singles & Tracks chart. The female narrator questions a lover and asks if he would rather be with someone else, or with no one. Producer Paul Worley thought that the song "challenged Martina more than any song ever has", and McBride said that she enjoyed "the