Mitral valve stenosis class III or IV symptoms. Once an individual develops NYHA class III or IV symptoms, the progression of the disease accelerates and the patient's condition deteriorates. Upon auscultation of an individual with mitral stenosis, the first heart sound is usually loud and may be palpable (tapping apex beat) because of increased force in closing the mitral valve. The first heart sound is made by the mitral and tricuspid heart valves closing. These are normally synchronous, and the sounds are termed M1 and T1, respectively. M1 becomes louder in mitral stenosis. It may be the most prominent sign. If pulmonary hypertension
Where Would You Be rawness" of it. The music video was directed by Morris Abraham and premiered in May 2002. "Where Would You Be" debuted at number 45 on the U.S. "Billboard" Hot Country Songs for the week of May 11, 2002. 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