Valvular Heart Disease Flashcards
1
Q
Mitral valve prolapse
pathology?
A
myxomatous degeneration
MVP caused by mitral valve leaflets bulging into LA when ventricles contract
2
Q
Mitral valve prolapse
aetiology?
A
- idiopathic
- rheumatic heart disease
- ischaemic heart disease
- connective tissue disorders
- cardiomyopathy
3
Q
Mitral valve prolapse
symptoms?
A
- may be asymptomatic
- palpitations
- syncope
- chest pain
4
Q
Mitral valve prolapse
signs?
A
- mid-late systole click
- high pitched late systolic murmur
5
Q
Mitral valve prolapse
Rx
A
- medical - aimed at symptoms
- surgical - mitral valve repair / replacement
6
Q
Mitral valve prolapse
complications?
A
MR
Infective endocarditis
7
Q
Pulmonary Stenosis
aetiology?
A
- congenital
- assoc w carcinoid syndrome
8
Q
Pulmonary Stenosis
symptoms?
A
- may be asymptomatic
- SOB, fatigue
- syncope
9
Q
Pulmonary Stenosis
signs?
A
- prominent a wave in JVP
- left parasternal heave
- thrill
- ejection systolic murmur
- upper left sternal border, radiates to left shoulder
10
Q
Pulmonary Stenosis
Ix?
A
- ECG
- P pulmonale
- right axis deviation
- RVH
- CXR
- prominent pul arteries
- Cardiac catheterisation- diagnostic
11
Q
difference between p pulmonale and p mitrale on ECG
A
12
Q
Pulmonary Stenosis
Rx
A
balloon valvuloplasty
13
Q
Tricuspid regurgitation
Aetiology?
A
- RV dilatation
- carcinoid syndrome
- IE of tricuspid valve
- rheumatic heart disease
14
Q
Tricuspid regurgitation
symptoms?
A
- reduced CO
- fatigue
- venous congestion
- ascites
- peripheral oedema
15
Q
Tricuspid regurgitation
signs?
A
- raised JVP w prominent V waves
- RV heave
- murmur
- pansystolic murmur heard best at LLSE during inspiration
