Cardiovascular - Valvular Disease Flashcards
two types of valve disease?
stenosis
regurgitation
features of valve disease?
SOB chest pain syncope orthopnea PND pitting oedema
what are RHS features of valve disease?
louder with inspiration
oedema
what are LHS features of valve disease?
SOB
frothy sputum
what valves close with S1?
mitral
tricuspid
what valves close with S2?
aortic
pulmonary
what does S1 and S2 signal?
S1 - systole
S2 - end of systole, start of diastole
what gives an ejection systolic murmur?
aortic stenosis
features of aortic stenosis?
slow rising pulse
radiates to carotids
what gives a pansystolic murmur?
mitral regurg
features of mitral regurg?
radiates to left axilla
ankle swelling
cardiomegaly
what gives an early diastolic decrescendo murmur?
aortic regurgitation
features of aortic regurgitation?
collapsing pulse
what gives a mid diastolic rumbling murmur?
mitral stenosis
features of mitral stenosis?
malar flush
tapping apex
what valve does rheumatic fever commonly affect?
mitral (regurg)
what can cause valve disease?
infection age congenital CTD rheumatic fever
Ix for valve disease?
ECG
CXR
echo
treatment for valve disease?
surgery
TAVI if frail
what pulse is seen in aortic stenosis?
slow rising pulse
what pulse is seem in aortic regurg?
collapsing pulse
what murmur can radiate to the axilla?
mitral regurg
what murmur can radiate to the carotids?
aortic stenosis
