Valvular Heart Disease Flashcards
An ejection systolic murmur is suggestive of…?
Aortic stenosis
A pan-cystolic murmur is suggestive of…?
Mitral regurgitation
An early diastolic murmur is suggestive or…?
Aortic regurgitation
A mid-diastolic murmur is suggestive of…?
Mitral stenosis
What is the most common cause of aortic stenosis in the western world?
Age related calcification
What are the potential causes of aortic stenosis?
Age related calcification
Congenital bicuspid aortic valve
Rheumatoid fever
What evidence of aortic stenosis would you expect to see on echo?
Left ventricular hypertrophy
What evidence of aortic stenosis would you expect to see on CXR?
No signs on CXR
What evidence of aortic regurgitation would you expect to see on CXR?
Cardiomegaly
There is a collapsing pulse and wide pulse pressure in aortic regurgitation. T/F?
True
What is the advantage of a metal valve replacement rather than tissue valve?
Metal valve lasts longer
What is the advantage of a tissue valve replacement rather than metal valve?
Tissue valve does not require anticoagulation for life
In what patients would TAVI rather than open heart surgery to replace a valve be used?
Older patients with lots of comorbidities who could not cope with open heart surgery
