Stenosis And Regurgitations Flashcards
What is heard with aortic stenosis
Ejection systolic
Opening mid systolic click
Slow rising pulse
Narrow pulse pressure
Causes of aortic stenosis
Calcification caused by hyperlipidemia diabetes smoking alcohol cholesterol hypertension age
Where can it radiate
Radiate to carotids
Symptoms with aortic stenosis
Dysnpnea
Syncope
Shortness of breathe
Angina
Treatment
Valve replacement
Difference between prosthetic and metal values
Prosethic last longer and do not need anti coagulationnwjwreas metal need warfarin
What is seen on echo and X-ray
Left ventricular hypertrophy
Calcified valve
Mitral regurgitation wjonis it seen in
Infective endocarditis
Rheumatic fever
Marfans
Mitral valve prolapse
characterised by
Pansystolic murmur over apex beat and radiate to axilla
In echo and ecg and X-ray
Lv dilatation
Mitral valve reverse flow
Which is associated with af ?
Mitral regurgitatation
Which associated with pulmonary odema
Mitral regurgitation
Management of regurgitation mitral
Treat hupertension and af
Valve replacement
Aortic balooon pulp
Aortic regurg signs
Collapsing pulse
Blinding water hammer pulse
What phase is aortic regurg in
So aortic valve shut in diastole so therefore regurg would allow baxk flow so early diastolic murmur
causes of aortic regurg
Usually aortic root or aorta filtration
Infective endocarditis
Htn
Ageing
Complications
Lv hypertrophy
Heart failure
Which has a wide pressure pulse
Aortic regurg
What is quicke sign and what one
Ar
Head nodding
What is mitral stenosis
Mitral stenosis is narrowing of mitral valve so increased pressure of blood into left atria to ventricle.
Stenosis affects what
Affects diastole because filling phase occurs now so mid diastolic click
Mitral regurg is what phase
In systole the mitral valve is shut so regurg would allow baxkflow making it pansystolic murmur
Causes of mitral stenosis
In pregnancy
Thematic heart disease
Steph a beta haemolytic step
Common feature of mitral stenosis
Dyphadgis or haemtpysis
Compression of oesephsgus
