Valve Disease Flashcards

1
Q

what are the 4 cardiac valves?

A

pulmonary valve, tricuspid valve, mitral valve, aortic valve

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2
Q

where is the tricuspid valve?

A

between right atrium and right ventral

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3
Q

where is the pulmonary valve?

A

between right ventricle and pulmonary artery

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4
Q

where is the mitral valve/bicuspid valve?

A

between let atrium and left ventricle

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5
Q

where is the aortic valve?

A

between left ventricle and aorta

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6
Q

who is valve disease common in?

A

elderly and downs

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7
Q

what causes valve disease?

A

congenital abnormality, myocardial infarction, rheumatic fever, dilation of the aortic root

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8
Q

what is rheumatic fever?

A

immunological reaction to streptococci

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9
Q

give an example of a congenital abnormality which causes valve disease

A

the normal tricuspid aortic valve is instead only a biscuspid valve and does not form the extra part

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10
Q

what side of the heart valves most commonly fail?

A

left

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11
Q

what are the left side heart valve failures called

A

aortic stenosis and incompetence, mitral stenosis and incompetence

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12
Q

what does valve stenosis do?

A

narrows the valve opening which limits the amount of blood leaving the heart

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13
Q

what investigation is used for heart valve disease?

A

doppler ultrasound scan

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14
Q

what does a doppler ultrasound scan do?

A

measures whether blood is going away from the probe or towards the probe

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15
Q

when is valve replacement done?

A

before there is evidence of heart failure

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16
Q

what are the types of heart valves

A

mechanical and porcine

17
Q

what is the extra precaution needed for patients with mechanical valves?

A

on anticoagulants

18
Q

what are the NICE guidelines for endocarditis infection risk?

A

maximise oral health, be sensitive to patient and surgeon needs, be aware of international disagreement in this area, sometimes antibiotics are given

19
Q

summarise metal valves

A

longer clinical life (30yrs), require warfarin anticoagulant, consider antibiotic prophylaxis, make a ticking noise

20
Q

summarise tissue valves

A

shorter clinical life (less than 10yrs), no need for anticoagulant, consider antibiotic prophylaxis, silent action