L2: Valvular Heart Diseases - MS Flashcards
1
Q
Mitral valve apparatus (complex)
A
2
Q
Def of MS
A
VHD characterized by the narrowing of Mitral Valve Orifice
3
Q
Normla MVO
A
- the MV Orifice Area (MVO) is about 5 cm during diastole. Normally,
- Any decrease in (MVO) below 2 cm indicate MS.
4
Q
Causes of MS
A
5
Q
Causes of MS
- Most Common
A
Rheumatic Heart Disease
6
Q
Etio-Pathologic Evolution of Rh. MS
A
7
Q
Pathology in MS
A
8
Q
Stages of MS
A
9
Q
CP of MS
A
10
Q
CP of MS
- Symptoms
A
11
Q
Symptoms of MS
- Asymp
A
- in Mild Cases (discovered accidentally during routine cardiac examination)
12
Q
Symptoms of MS
- PVC
A
13
Q
Symptoms of MS
- LCOP
A
14
Q
Symptoms of MS
- SVC
A
15
Q
Symptoms of MS
- Comp
A
…
16
Q
CP of MS
- Signs
A
17
Q
General Signs of MS
A
18
Q
General Signs of MS
- PHTN Cases
A
19
Q
General Signs of MS
- Group IV Patients
A
20
Q
General Signs of MS
- Complications
A
….
21
Q
Local Ex of MS
A
22
Q
Local Ex of MS
- Precordial Ex
A
23
Q
Local Ex of MS
- Ausc
A
24
Q
Ausc. in MS
- S1
A
25
Ausc. in **MS**
- OS
26
Ausc. in **MS**
- MDM
27
MDM in **MS**
- Timing
- Site
- Severity & pre-systolic Acc.
28
Ausc in **MS**
- Others
29
DDx of **MDM**
- Left atrial myxoma
- Cortriatriation
- Congenital MS
30
Def of **Silent MS**
- Type of MS with no audible diastolic murmur Occur if COP is very low
31
Etiology of **Silent MS**
32
**Silent MS**
- Dx
Flow across the valve is markedly reduced such that a murmur is not generated
- If suspected, it can be diaanosed bv echo Doppler
33
INVx for **MS**
34
INVx for **MS**
- ECG
35
ECG in **MS**
- None
mild cases
36
ECG in **MS**
- P-Wave
- Wave abnormalities of LAE (P mitral)
- RAE (P Pulmonal in severe and advanced cases)
37
ECG in **MS**
- AF
...
38
ECG in **MS**
- RVH
Advanced cases
39
X-Ray in **MS**
40
X-Ray in **MS**
- none
Mild Cases
41
X-Ray in **MS**
- In Congestive Cases
42
ECHO in **MS**
43
Cardinal Diagnostics in **MS**
44
Cardinal Diagnostics in **MS**
- Local Ex
45
Cardinal Diagnostics in **MS**
- ECG
46
Cardinal Diagnostics in **MS**
- X-Ray
47
Cardinal Diagnostics in **MS**
- Doppler ECHO
48
TTT of **MS**
49
TTT of **MS**
- General
50
TTT of **MS**
- Medical
51
TTT of **MS**
- Balloon Mitral Valvuloplasty
52
TTT of **MS**
- MV Surgery
53
MV Replacment in TTT of **MS**
- Indication
- Types
- Prophylaxis