L2: Valvular Heart Diseases - Intro Flashcards
Hemodynamics of Lt-Sided VHD
In general, any stenosis lead to ……. overload on the upstream cardiac chamber, whereas regurgitant lesions cause …… overload.
- pressure
- volume
CP of Lt-Sided VHD
CP of Lt-Sided VHD
- Symptoms
CP of Lt-Sided VHD
- Signs
CP of Lt-Sided VHD
- Inspection & palpation
CP of Lt-Sided VHD
- Normal Heart Sounds
CP of Lt-Sided VHD
- Percusiion
Dullness in the 2nd left intercostals space in a stage of pulmonary HTN.
CP of Lt-Sided VHD
- Auscultation
CP of Lt-Sided VHD
- Added Sounds
CP of Lt-Sided VHD
- Murmurs
INVx in Lt-Sided VHD
INVx in Lt-Sided VHD
- X-Ray
- Chamber enlargement.
- Pulmonary congestion
INVx in Lt-Sided VHD
- ECG
INVx in Lt-Sided VHD
- ECHO
The most important
* Chamber enlargement.
* Detect the severity of the valve lesion.
INVx in Lt-Sided VHD
- Catheterization (Angiography)
- Detect the severity
- Chamber enlargement
Complication of Lt-Sided VHD
Complication of Lt-Sided VHD
- Valves
- Calcification.
- Rheumatic activity.
- Infective endocarditls. (rare in MS )
Complication of Lt-Sided VHD
- LAE
Complication of Lt-Sided VHD
- Lung
Complication of Lt-Sided VHD
- Failure
- RSHF.
- LSHF except in MS.
Complication of Lt-Sided VHD
- Complications of Surgery
- Mechanical dysfunction.
- Infective endocarditis.
- Thromboembolism.
- Hemolytic anemia.
Complication of Lt-Sided VHD
- Others
- Arrhythmia → AF in a case of MS, heart block in calcified AS.
- thromboembolism → stroke.
TTT of Lt-Sided VHD
TTT of Lt-Sided VHD
- Medical
- Prophylaxis against lE & rheumatic activity.
- Treatment of complications e.g. HF, AF, infections
TTT of Lt-Sided VHD
- Curative
