Valvular heart disease Flashcards
1
Q
Def
A
Occurs when the valves cannot open fully (stenosis) or close completely (regurgitation)
2
Q
Types
A
Mitral Stenosis Mitral Regurgitation Mitral Valve Prolapse Aortic Regurgitation Tricuspid or Pulmonic valve dz
3
Q
Collaborative management
A
Health hx VS, PE, auscultate heart and lungs Check edema and peripheral pulses CXR ECHO ECG
4
Q
Surgical Management
A
Only definitive tx
Usually performed after sx of LHF has developed
- Reparative
- Mitral valve reconstruction
- Valve replacement
5
Q
Reparative
A
- Balloon Valvuloplasty
2. Commussurotomy
6
Q
Commissurotomy
A
During open heart surgery with pt on bypass
removes calcium from fused valve leaflets
7
Q
Balloon Valvuloplasty
A
Non-invasive surgical tx
Non-calcified valves
A balloon tip catheter
Complications: Bleeding, thrombi, emboli
8
Q
Valve replacement
A
Prosthetic valves
Biological valves
PROPHYLACTIC USE OF ABX
9
Q
Prosthetic valves
A
Require life long anti-coagulation Ie: Heparin Coumadin Xarelto MAN MADE
10
Q
Biological valves
A
procine or bovine valves
last 7-10 yrs
do not require anti-coagulation
