valve heart disease Flashcards
is aortic stenosis pressure or volume?
pressure
aortic stenos def
restricted valve opening, leads to pressure gradient/overload
aortic stenosis leads to what kind of hypertrophy?
concentric
etiology for AS by age
> 70 calcification, 60-70 rheumatic fever, <60 bicuspid
path of AS
gradient and delay in LV pressure leads to hypertrophy
AS clinical consequences
HF, angina, arythmia
treatment AS
only when symptomatic (late), replace valve
aortic regard is a __ problem?
volume overload
aortic regurg leads to what kind of hypertrophy?
ecentric
etiology of aortic regurgitation
primary valve: congen bicuspid, rheum, endocarditis, trauma. primary aortic root: aortic root dilation, marfan
symptoms of AR
dyspnea/fatigue, angina, syncope, long diastolic murmer,
AR treatments
decrease after load, arter. vasodilation, ARB, ACE. or replace valve
mitral stenosis etiology
congenital, acquired (rheum), marinas, mitral prolapse, pap muscle issue
mitral stenosis treatment
diuretics, replace
chronic mitral regurg symptoms
LV dilation from V overload, LA dilation from increased LAP, pulm HTN,
tricuspid regorge etiology
increased RV pressure, endocarditis, RB dilation from volume overload
infection endocardidtis
staph, strep, predisposing heart condition
fibrinoid necrosis
Rheumatic
malignancy increases likelihood for what endocarditis
nonbacterial thrombolitic endocarditits
delayed carotid upstroke is seen in what murmer?
aortic stenosis (decreased push of blood out)
holosystolic murmer
mitral regurg
mitral regurge leads to
increased preload, large v wave
decrescendo murmer
aortic regurg
marfans is associated with what valve issue
aortic regurg
