Valve Diseases Flashcards

1
Q

Cause of Mitral Stenosis?

A

Rheumatic Fever

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2
Q

Mid/late diastolic murmur

A

m/T stenosis

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3
Q

Corrigan’s

A

increase in carotid pulse, sign of aortic regurgitation

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4
Q

Tricuspid regurgitation - murmur

A

holosystolic that increases with inspiration

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5
Q

which murmur radiates to the carotid

A

aortic stenosis

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6
Q

Symptoms of tricuspid regurgitation

A

edema, ascites, hepatic congestion, JVD

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7
Q

Holosystolic murmur

A

Mitral and Tricuspid regurgitation

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8
Q

Tricuspid regurgitation

A

backflow in systole to lead to RA dilation

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9
Q

Tricuspid stenosis murmur

A

mid/late diastolic that increases with inspiration.

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10
Q

Symptoms of mitral regurgitation

A

RHF, pulmonary hypertension, A fibrillation

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11
Q

Pulmonary regurgitation

A

pulmonary backflow in diastole to cause RV dilation. Mild to moderate is common in ECHO, and requires not testing

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12
Q

bicsupid aortic valve pathology

A

increase in MMPs, and myofibrillar elements to lead to cell death.

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13
Q

Aortic regurgitation

A

Backflow into LV in diastole to lead to LV dilation.

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14
Q

Associating problems with bicuspid aoritc valve

A

AS, AI, Aortic dilation, endocarditis, coarctation

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15
Q

Tricuspid Stenosis Etiology

A

Rhematic Disease

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16
Q

Mitral stenosis murmur

A

mid/late diastolic

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17
Q

Aortic regurgitation - symptoms

A

Water-hammer, deMussets, Quinckes, Meullers, Corrigans, Dyspnea, Pulmonary Edema

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18
Q

Tricuspid regurgitation etiology

A

80% functional - annular dilation, leaflet tether.

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19
Q

Increased severity of mitral stenosis

A

earlier snap and longer murmur duration

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20
Q

Aortic Stenosis Etiology

A

Bicuspid AV, calcific, Rheumatic (with mitral)

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21
Q

Valsalva does what?

A

decrease LV size to increase mitral valve prolapse murmur and hypertrophic cardiomyopathy murmur and decrease all else.

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22
Q

Aortic Regurgitation murmur

A

early diastolic murmur with bounding carotid and peripheral pulses

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23
Q

Pressures in aortic regurgitation

A

Increase in pulse pressure Increase in LA pressure Increase in LV pressure Aortic: increase in systolic and decrease is diastolic pressure (due to leak)

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24
Q

Early diastolic Murmurs

A

aortic/p regurg

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25
Q

Pulmonary Stenosis - etiology

A

congential heart disease

26
Q

Aortic stenosis - murmur

A

systolic crescendo-decrescendo murmur

27
Q

Mitral Valve prolapse murmur

A

late systolic that increases with valsava

28
Q

Tricuspid Stenosis

A

decreased diastolic filling to lead to dilation of RA.

29
Q

DeMusset’s

A

sign of aortic regurgitation, head bob

30
Q

Mitral Valve Prolapse etiology

A

sporadic, hereditary, CT diseases

31
Q

Late systolic murmur

A

mitral Valve prolapse

32
Q

Tx of aortic stenosis

A

surgery if symptomatic or EF

33
Q

squatting does what?

A

increases LV size. decreases mitral valve prolapse murmur

34
Q

Aortic Stenosis Pressures

A

Decrease pulse pressure in systole LA pressure increase LV pressure increase in both diastolic and systolic Aortic: decrease

35
Q

Increasing severity of pulmonary stenosis murmur

A

split S2 with S4. Longer, later peak

36
Q

Symptoms of pulmonary regurgitation

A

JVD, peripheral edema, A and V arrhythmias

37
Q

Pulmonary regurgitation murmur

A

early diastolic murmur that increases with inspiration

38
Q

Quincke’s

A

visible pulse in fingertips; sign of aortic regurgitation

39
Q

Mueller’s sign

A

pulse in uvual , sign of aortic regurgitation

40
Q

Pressures in Mitral Stenosis

A

increase in left atrial pressure and increase pressure gradient between atria and ventricle. Sever is 10-30 mmHg LA pressure increases LV pressure: both systolic and diastolic decrease aortic: decrease

41
Q

Treatment of Tricuspid regurgitation

A

Diuretics, surgery done when doing left heart surgery

42
Q

Mitral regurgitation - murmur

A

holosystolic

43
Q

Systolic Ejection Murmurs

A

Aortic and pulmonic stensosi

44
Q

Mitral Regurgitation etiology

A

Primary: prolapse, endocarditis Function - dilation or dysfunction of left ventricle

45
Q

Mitral Stenosis

A

decreased diastolic filling and dilation of Left Atrium

46
Q

Aortic Stenosis basics

A

decreased systolic flow (emptying), to cause hypertrophy of LV

47
Q

Pulmonary Regurgitation - etiology

A

Iatrogenic (surgery), or secondarily cause by pulmonary A. dilation or pulmonary hypertension

48
Q

Pulmonary stenosis

A

decreased systolid flow (emptying) leading to RV hypertrophy

49
Q

Pressures in Mitral regurgitation

A

Increased LA pressure LV Pressure: increased diastolic, decreased systolic Aortic: decreased

50
Q

what type causes increase in pulse pressure?

A

aortic regurgitation

51
Q

Tricuspid regurgitation - pressures

A

Increase RA pressure, decrease RV and pulmonic pressures

52
Q

what are the systolic murmurs

A

A/P stenosis, M/T regurgitation, mitral v. prolapse

53
Q

Symptoms of Mitral Valve prolapse

A

A fib, LV dilation, CHF

54
Q

Mitral Valve prolapse pathophysiolgy

A

thickening of mitral valve so it opens, but doesn’t close and remains in left atrium. Asosicated iwth mitral regurgitation.

55
Q

Mitral regurgitation

A

Backflow in systole to cause LA dilation

56
Q

Mitral Stenosis symptoms

A

pulmonary hypertension, right sided HF, A fib, stroke/thrombosis

57
Q

pulmonic stenosis - murmur

A

systolic crescendo-decrescendo murmur that increases with inspiration

58
Q

Aortic Stenosis symptoms

A

Dyspnea on exertion, syncope, angina, CHF

59
Q

bicuspid aortic valve murmur

A

systolic ejection murmur that is same on inspiration and expiration

60
Q

Aortic Regurg etiology

A

Bicuspid valve, aortic dilation, Rheumatic

61
Q

Mitral regurgitation treatment

A

Meds: diuretic, drugs to decrease afterload, mitraclip. Surgery if symptomatic, LV dilation/dysfunction, a fib, pulmonary hypertension. More likely to do repair over replacement of valve.