Pulmonic, Tricuspid, Prosthetic valves Flashcards
Are mild and moderate PR “normal variants?”
Yes
3 causes of severe PR
Carcinoid
TOF
Endocarditis
In severe PR, where color jet fills RVOT, what will the CW deceleration slope look like?
Steep (may end abruptly)
Most common etiology of Tricuspid Stenosis
Rheumatic
JVP in TS
Giant a- wave
Diminished y descent
What vena contracta is considered severe for all valvular regurge?
> .7cm
What stage is severe, asxs TR (VC>.7cm, hepatic vein systolic flow reversal)?
C
What stage is severe sxs TR (vena contracta>.7cm, hepatic vein systolic reversal)?
D
What do CW jet density and contour look like in severe TR?
Dense
Triangular with early peak
When is TV repair a class I indication for severe TR?
At time of left sided valve Sx
Is pressure half time in severe MS long or short?
Long
Is pressure half time in severe AI long or short?1
Short
Sxs: flushing, diarrhea, wheezing. Dx? What percent of pt’s develop cardiac involvement?
Carcinoid
50%
Test for carcinoid
24h urine 5-HIAA
What valve lesion commonly occurs with carcinoid?
TS
Migraine Rx similar to carcinoid except causes more left sided valve lesions
Ergotamine