murmur Flashcards
aortic stenosis
Harsh systolic ejection crescendo-decrescendo late peaking murmur
split S2
aortic regurgitation
Diastolic Decrescendo murmur
A Rehman Doible D
HIGH PITCHED
heard best when leaning forward in full expiration in a quiet room
mitral stenosis
low pitched mid diastolic rumbling murmur with pre systolic accentuation AFTER OPENING SNAP
Decrescendo
Maria Sherapova dd
Austin Flint Murmur
Aortic Regurgitation
Corrigan Pulse
water hammer pulse Aortic Regurg
Quincke Sign
visible palpitations under fingernail bed with light compression of the fingernail
Aortic Regurgitation
most common cases of mitral stenosis
rheumatic fever, also most common in females
how to treat rheumatic fever
Benzathine Penicillin
Mitral Valve Prolapse
High pitched, mid-late systolic crescendo descrendo murmur WHOOPING OR HONKING
Mid systolic click
Mitral Regurg
High pitched apical Pansystolic murmur
Tricuspid Stenosis
Mid diastolic rumble with pre systolic accentuation
opening snap
Tricuspid Regurgitation
BLOWING HOLOSYSTOLIC murmur intensified during inspiration
R sided HF
Distended neck veins
Pulmonic stenosis
Loud harsh. systolic murmur, radiates toward left shoulder
EJECTION CLICK
Crescendo decrescendo
decreased with inspiration the murmur
Pulmonic Regurgitation
High pitched, decrescendo diastolic murmur along the left sternal border
Penelope cRuz dd
Who’s midsystolic
Adam Sandler
MVP
Patrick Stewart
Who’s harsh and mid?
Patrick Stewart and Adam Sandler
AS, PS, MVP
They are all crescendo decrescendo
Holosystolic holo card
Tony Romo and Marco Reus
Also they are blowing holosystolic
Rinspiration Lexpiration
Hear right sided better during inspiration
Hear left sided better during expiration.
Aortic stenosis and pulmonic stenosis
Split S2 on both
Left bbb and right bbb respectively
Mitral stenosis and tricuspid stenosis
Opening snap cuz they’re both atrioventricular
Aortic stenosis why’s it caused?
Mostly because older people over 70 through calcium deposition
Other people are born this way
Treatment for AS
Aortic valve replacement
and treat cardiovascular risk factors like weight, cholesterol, HTN (NO BB), exercise
So who gets what kinda valve
Mechanical if you’re under 60
must also take anti coal with it
Over 60 you get bovine valve
Aortic Insufficiency or regurg
Key thing is extensional dyspnea and paroxysmal nocturnal dyspnea
Treatment for AI/AR
Surgical replacement
TAVR?
Common symptoms for MS
Chest pain because of PULM HTN
AFIB because It affects atria
Paroxysmal nocturnal dyspnea
RHF symptoms
Thromboembolism cause of afib
Treatment for MS
Anticoagulant like warfarin
Percutaneous Mitral Balloon Valvuloplasty
Valve replacement surgery if symptomaticmi
Mitral Regurg/Insuff caused by?
Most commonly caused by MVP
Other secondary causes
Rheumatic fever
Myxomatous degeneration
endocarditis
Most common form of valvular heart disease
Mitral valve prolapse
also more common in young women
MR/MI treatment
If A Fib Coumadin
Treatment of HF
Diuretics, BB, Ace
Surgical valve replacement
Mitral Clip
TAVI
Key finding with TS
JVD and a GIANT A WAVE
Treatment for TS
Diuretics to relieve RHF congestion
Not really surgery but you can if you need to
ONLY BIOPROSTHETIC VALVES
TR treatment
Diuretics for right sided hf
Surgery
Pulmonary stenosis who gets it more
Kids and females
also on PE
DECREASED WITH INSPIRATION
Tx for PS
Mild asymptomatic
Moderate asymptomatic
Diuretics for symptoms
Balloon valvuloplasty
PR Tx and a fun fact
Most patients are asymptomatic
Surgical repair is rare
focus on underlying cause
All midmystolic murmurs have a click
Ejection click on AS PS
Mid systolic late click
