Pulmonic Regurgitation Flashcards

1
Q

What are the PATHOLOGIC CAUSES of PR?

A
  1. Dilated annulus due to PHT
  2. Dilated annulus due to chamber enlargement (RV/PA)
  3. Congenital
  4. PA catheter..critical care, bedside
  5. Other: endocarditis, myxomatous, rheumatic, carcinoid
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the MOST COMMON pathologic cause?

A

dilated annulus due to PHT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the SIGNS & SYMPTOMS of PR?

A

usually asymptomatic

if severe: signs of overload to right heart and cava

-Jugular venous distension
-Peripheral edema
-Hepatomegaly
-Ascites

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What type of AUSCULTATION is heard with PR?

A

Blowing holodiastolic murmur at upper LSB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Severe PHT is clearly distinguishable and referred to as a

A

graham steel murmur

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the TREATMENTS of PI?

A

-Well tolerated, if severe - valvuloplasty in terms of repair/replacement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the 2D FINDINGS of PI?

A
  1. anatomic changes/ abnormalities at valve if present
  2. RVH
  3. RVE
  4. RAE
  5. fine diastolic flutter on TV
  6. pulmonary artery dilation
  7. PSM, D shaped LV in diastole
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is evidence of PHT?

A

RVH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the COLOR/DOPPLER FINDINGS of PI?

A
  1. Red to candle flame diastolic jet into RVOT
  2. Box shaped envelope above baseline during diastole
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What findings indicate SEVERE PI?

A
  1. prominent holodiastolic flow reversal in PA
  2. presence of PISA
  3. premature opening of PV
  4. increased antegrade velocity
  5. PR Index < .77
How well did you know this?
1
Not at all
2
3
4
5
Perfectly