PR/PS Flashcards
What is most common cause of PS?
CHD
Normally is dilation or HF present initially in PS?
No
If PS is acute and there is HF S/S what could be expected to be the cause?
ASD or PR
When does RHF occur with PS?
Later in life 50’s
Can people live with PS?
Yes, well into adulthood
Is PS asymptomatic?
Yes initially, then develop exertion all S/S or RHF
What additional sounds can be heard with PS?
S2 split and S4
What is split during S2?
A2 closes first, then pulmonic
Where is S4 heard in PS?
LSB
WHat does PR sound like?
Crescendo-decrescendo systolic heard w/ bell or diaphragm at LUSB
+ early systolic EC
What tests are considered with PS?
EKG, Echo, Cardiac cath
What is seen on EKG w/ PS?
RVH
What test is diagnostic w/ PS?
Echo
When is cardiac cath performed w/ PS?
Patient has Doppler peak gradient greater than 36mmgHG or Balloon valvotomy canidates
What Diagonstic tests should be performed routinely and how long for PS?
EKG and Echo
Baseline then Q5-10yrs
When is PS treated and how?
PS must be severe
Balloon valvotomy via cath
What is the MC reason for PR?
Severe Pulmonary HTN
What does PR sound like?
Early diastolic ejection murmur w/ ejection click heard at pulmonic area
What other sounds are heard with PR
Graham-Steele murmur
What does Graham-Steele murmur sound like?
High pitched diastolic decrescendo heard at LSB
What is Graham-Steele murmur due to?
Pulmonary HTN
What does Graham-Steele murmur sound similar to?
AR
What are DX test for PR?
EKG, CXR, Echo
What can be seen on echo w/ PR?
RVH
What can be seen on EKG w/ PR?
RVH
What can be seen on CXR w/ PR?
RVH + Prominent pulmonary arteries.
What is diagnostic test for PR?
Echo
How do you TXT PR?
TXT underlying pulmonary HTN w/ diuretics, O2, anticoagulant
When should surgery be considered for PR?
Severe PR
What are less common potential S/S of PR?
Cough, Hemoptysis, or hoarseness
