valvular disease Flashcards
1
Q
What is the presentation of mitral stenosis
A
- Dyspnoea
- Haemoptysis
- Chest pain
- Hoarseness due to compression of the recurrent laryngeal nerve
2
Q
What is seen on examination of someone with mitral stenosis
A
- Mitral facies (abnormal facies)
- normal Pulse
- Prominent a wave JVP
- Tapping apex beat
- Diastolic thrill
- RV heave
3
Q
What is the treatment of mitral stenosis
A
- Diuretics and restriction of sodium intake
- Anticoagulants if they have atrial fibrillation
- Valvotomy
- Mitral valve replacement
4
Q
What is the presentation of acute mitral regurgitation
A
- Breathlessness
- Pulmonary oedema
- Cardiogenic shock
5
Q
What is the presentation of chronic mitral regurgitation
A
- Fatigue
- Exhaustion
- Right heart failure
- Dyspnoea
- Palpitations
6
Q
What is seen on clinical exam of mitral regurgitation
A
- Normal pulse
- JVP prominent if rheumatic heart failure present
- Brisk and hyperdynamic apex beat
- Right ventricular heave
7
Q
What is the treatment of mitral regurgitation
A
Mitral valve replacement or mitral valve apparatus repair for chronic mitral regurgitation
8
Q
A
9
Q
What is the presentation of aortic stenosis
A
- Systolic ejection murmur which radiates to the carotids
- Chest pain
- Syncope
- Breathlessness on exertion
- Heart failure
10
Q
What is the treatment for aortic stenosis
A
Aortic valve replacement or repair
