Cardiac Alterations-Slides 44 On Flashcards
Displacement (ballooning) of the mitral valve leaflets into the left atrium during ventricular systole
Mitral Valve Prolapse
Typically asymptomatic
Mitral Valve Prolapse
Woman usually affected more than men
Mitral Valve Prolapse
Midsystolic click or systolic murmur
Mitral Valve Prolapse
palpitations; rhythm abnormalities; dizziness; fatigue; dyspnea; chest pain; or depression and anxiety
Mitral Valve Prolapse
Predominant cause is age-related calcium deposits on the aortic cusps
Aortic Stenosis
Left ventricle hypertrophy may result in ischemia and left-sided heart failure
Aortic Stenosis
Crescendo-decrescendo murmur during ventricular systole with prominent S4; syncope; fatigue; angina
Aortic Stenosis
Results in obstruction of aortic outflow from the left ventricle into the aorta during systole
Aortic Stenosis
Incompetent aortic valve allows blood to leak back from the aorta into the left ventricle during diastole
Aortic Regurgitation
Causes: abnormal aortic valve or aortic root dilation
Aortic Regurgitation
Leads to left ventricle hypertrophy and dilation with eventual left-sided heart failure
Aortic Regurgitation
High-pitched blowing murmur during ventricular diastole;
Aortic Regurgitation
high systolic blood pressure; diastolic blood pressure usually low; palpitations
Aortic Regurgitation
Acute inflammatory disease that follows infection with group A β-hemolytic streptococci
Rheumatic heart disease
Damage is due to immune attack on the individual’s own tissues
Rheumatic heart disease
Antibodies against the streptococcal antigens damage connective tissue in joints, heart, skin
Rheumatic heart disease
Occurs mainly in children
Rheumatic heart disease
Fever; sore throat; joint inflammation; erythema marginatum, involuntary movements (Sydenham chorea); and a distinctive truncal rash
Rheumatic heart disease
Invasion and colonization of endocardial structures by microorganisms with resulting inflammation—vegetations
Infective endocarditis
What are the most common bacteria in infective endocarditis
Staph and Strepto
Prognosis poor
Intravenous drug users susceptible
Acute infective endocarditis
Predisposing risk factors typically present
Subacute infective endocarditis
inflammatory disorder of the heart muscle characterized by necrosis and degeneration of myocytes
Myocarditis
Clinical course: acute and stormy, with recovery or death from cardiac failure occurring weeks to months after the onset of symptoms
Myocarditis