murmurs Flashcards
what symptoms are characteristic of murmurs?
exertional
what is paroxysmal nocturnal dyspnoea?
severe shortness of breath and coughing at night
what are palpable heart murmurs called?
thrills
where are you most likely to get pitting oedema in heart failure?
legs and sacrum
which murmur do you get a tapping apex in?
mitral stenosis (rheuMS)
what is a parasternal heave indicative of?
Right ventricular hypertropy (PH in RVH)
pan systolic murmur?
mitral regurg
which side of heart murmurs are louder with inspiration?
right (blood drawn to lungs)
soft, position dependant, systolic murmur - worrying?
no
which is the only valve to have 2 parts?
mitral
pansystolic murmur radiating towards armpits>
mitral regurg
why do you get left ventricular enlargement in MR?
left atrium getting filled more from left ventricle and pulmonary vein
palpitations with MR?
AF
what do you get splitting of in MR?
second heart sound
symptomatic relief of mitral regurgitation?
ace inhibitors and diuretics
function of ace inhibitors?
prevent cardiac remodelling
Early diastolic murmur, best heard when patient is sitting forward and expiring
aortic regurg
what kind of pulse might you get in aortic regurg
collapsing
treatment of aortic regurg
ace inhibitor
causes of mitral stenosis ?
congenital or rheumatic heart disease
how would you describe MS, when would you hear it best?
rumbling mid diastolic murmur, best heard on expiration when patient dying on their side
what might you hear on s1 in MS?
opening snap
medical and surgical to fix mitral stenosis ?
balloon valvoplasty
vave replacement
innocent murmurs?
soft
systolic
vary with position
