Valve Diseases Flashcards
Cause of Mitral Stenosis?
Rheumatic Fever
Mid/late diastolic murmur
m/T stenosis
Corrigan’s
increase in carotid pulse, sign of aortic regurgitation
Tricuspid regurgitation - murmur
holosystolic that increases with inspiration
which murmur radiates to the carotid
aortic stenosis
Symptoms of tricuspid regurgitation
edema, ascites, hepatic congestion, JVD
Holosystolic murmur
Mitral and Tricuspid regurgitation
Tricuspid regurgitation
backflow in systole to lead to RA dilation
Tricuspid stenosis murmur
mid/late diastolic that increases with inspiration.
Symptoms of mitral regurgitation
RHF, pulmonary hypertension, A fibrillation
Pulmonary regurgitation
pulmonary backflow in diastole to cause RV dilation. Mild to moderate is common in ECHO, and requires not testing
bicsupid aortic valve pathology
increase in MMPs, and myofibrillar elements to lead to cell death.
Aortic regurgitation
Backflow into LV in diastole to lead to LV dilation.
Associating problems with bicuspid aoritc valve
AS, AI, Aortic dilation, endocarditis, coarctation
Tricuspid Stenosis Etiology
Rhematic Disease
Mitral stenosis murmur
mid/late diastolic
Aortic regurgitation - symptoms
Water-hammer, deMussets, Quinckes, Meullers, Corrigans, Dyspnea, Pulmonary Edema
Tricuspid regurgitation etiology
80% functional - annular dilation, leaflet tether.
Increased severity of mitral stenosis
earlier snap and longer murmur duration
Aortic Stenosis Etiology
Bicuspid AV, calcific, Rheumatic (with mitral)
Valsalva does what?
decrease LV size to increase mitral valve prolapse murmur and hypertrophic cardiomyopathy murmur and decrease all else.
Aortic Regurgitation murmur
early diastolic murmur with bounding carotid and peripheral pulses
Pressures in aortic regurgitation
Increase in pulse pressure Increase in LA pressure Increase in LV pressure Aortic: increase in systolic and decrease is diastolic pressure (due to leak)
Early diastolic Murmurs
aortic/p regurg