valvular regurgitation

Question 1

What type of murmur does Ao regurg cause and why

Answer 1

diastolic and systolic. systolic b/c its pumping twice as much blood thru

Question 2

what type of hypertrophy do you get with Ao regurg? W/ mitral regurg?

Answer 2

eccentric hypertrophy (concentric and eccentric)
eccentric remodeling

Question 3

what effect does Ao regurg have on BP

Answer 3

widens PP

Question 4

what type of sounds do you hear w/ Ao regurg

Answer 4

Apical S3, Diastolic blowing decresendo, midsystolic outflow murmur, diastolic rumble (Austin Flint)

Question 5

when would you perform AVR

Answer 5

Balance b/w symptoms of faulty valve and symptoms of prosthetic valve. When there’s severe aortic dilation

Question 6

what kind of wiggers findings would you expect w/ MR?

Answer 6

Large V wave.

Question 7

what kind of sounds does MR produce

Answer 7

Apical S3, holosystolic apical murmur, diastolic rumble when severe

Question 8

In what symptomatology does MR differentiate from MS?

Answer 8

LV dysfxn in MR

Question 9

how does AS affect preload/afterload? MR? MS? AR?

Answer 9

Increase afterload, increase preload, none, increase preload and afterload

Question 10

how is impulse affected by Ao regurg? MR?

Answer 10

dynamic and displaced, same

Question 11

do we see better outcomes with mitral repair or replacement

Answer 11

repair