CV assessment 1\ Flashcards
S3 sound in written word
lub dub ky
S3 is considered abnormal in what patient population
adults over 30 years old
S3 is associated with what defects/patho?
4 things
1 general term for what it indicates
LV failure
FVO
cardiomyopathy
M/T regurgitation
cardiac decompensation
S3 is called what?
ventricular gallop
S4 is called what ?
atrial gallop
S4 sound in written word
Ta lub dub
S4 is abnormal in what patient population
adults
S4 is associated with what conditions/defects/illnesses?
5 things
1 overall description
myocardial ischemia infarction HTN ventricular hypertrophy AV blocks
noncompliant ventricle
What are the two systolic murmurs
aortic stenosis
mitral regurgitation
a crescendo decrescendo at the 2nd rt ICS indicates
aortic stenosis
this type of valvular or outflow tract defect could have an idiopathic cause
aortic stenosis
this type of valvular or outflow tract defect would be caused by rheumatic fever, acute bacterial endocarditis, or MI
mitral regurgitation
recognized by holosystolic apical murmur and can cause S3
mitral regurgitation
if EF is less than ____ the mitral regurg will need to be treated with surgery
60
what are the two diastolic murmurs
aortic regurg and mitral stenosis
mitral stenosis is associated with ______ and symptoms may be minimal, but get worse with_______. Symptoms may include 5 things.
- sequela of RHD
- symptoms get worse with activity that raise heart rate
- afib, chest discomfort, difficulty breathing, frequent respiratory infections
a mid diastolic murmur heard at the apex that crescendo, decrescendo, plateau
mitral stenosis
_____side lesions are more impactful than _____side lesions
left
right
______lesions are better tolerated than ______ lesions.
regurgitant
stenotic
patients with moderate degree of valvular stenosis or regurgitation need and ECHO if?
haven’t had one in a year or change in clinical status
the most common cause of left ventricle outflow obstruction
aortic stenosis
normal aortic size would be ?
critical stenosis?
2.5-3.5
critical less than 0.7
what is the classic triad of symptoms for aortic stenosis
angina
orthostatic or exertional syncope
Dyspnea on exertion
