Aortic Valve Disease Flashcards
Which of the following is NOT a symptom of aortic stenosis? A. Angina pectoris B. Exertional dyspnea C. Syncope D. Exertional fatigue
D
Name the disease:
Long “growling” crescendo-decrescendo systolic murmur at base radiating to carotids
Never holosystolic
Absent/decreased S2 at apex
Aortic stenosis
Name the disease:
High frequency diastolic decrescendo murmur along left sternal border
Aortic regurgitation
Longer the murmur = greater amount of chronic regurgitation
Name the disease:
Holosystolic “blowing” murmur best heart at apex w/ radiation to axilla
Chronic mitral regurgitation
Name the disease:
Click and murmur during systole.
Timing of click depends on change in left ventricular volume and shape.
Mitral valve prolapse
Which of the following is NOT a feature of aortic stenosis?
A. LV dilatation
B. Non-compliant LV
C. LV wall thickening
A. NOT a volume overload problem.
T/F: Aortic stenosis will show widened pulse pressure.
False. Narrowed PP
Name the disease:
Small volume carotid pulse w/ sustained upstroke = caressing carotid pulse against finger when palpated
Aortic stenosis
T/F: LV is displaced down and out in aortic stenosis
False. Enlarged and sustained but NOT displaced
T/F: LV is displaced down and out in aortic regurgitation
True. Volume overload problem
T/F: Echocardiogram is best test to assess for aortic stenosis.
True
Which of the following is NOT a symptom of aortic regurgitation? A. Angina pectoris B. Exertional dyspnea C. Syncope D. Exertional fatigue
C
Symptoms also include:
Palpitations
Inappropriate sweating
T/F: Aortic regurgitation will show widened pulse pressure.
True due to:
Bigger hole causes need to increase SV –> volume overload –> low diastolic pressure
AND pressure overload –> High systolic P causes
Which of the following is NOT a symptom of mitral regurgitation? A. Angina pectoris B. Exertional dyspnea C. Syncope D. Exertional fatigue
A, C
B, D also seen aortic regurgitation
