VHD Flashcards
Hockey-stick appearance of the anterior mitral leaflet in diastole.
Mitral Stenosis
Fish-mouth orifice in short–axis view
Mitral Stenosis
Most leading cause of mitral Stenosis
Rheumatic Fever
Hallmark of Mitral Stenosis
Hemodynamic
Signs and Symptoms:
- orthopnea
- cough
- PND
- S1 accentuated & slightly delayed
- P2 accentuated, S2 split
- opening snap
- low-pitch rumbling, diastolic murmur at apec
Mitral Stenosis
May result ffrom any disease process that affects any of the functional components of the MV apparatus
Mitral Regurgitation
Acute Mi w/ papillary muscle rupture, rupture of the chordae tendinaea in myxomatous degeneration ff blunt chest trauma during the course of IE
Mitral Regurgitation
The murmur of acute MR is ___ in timing and _____ in configuration ending well before S2
early
decresendo
Chronic MR murmur ____ in timing and ____ in configuration.
holosystolic
plateau
The posterior mitral leaflet is usually more affeected than the anterior. This leads to excessive stress on the papillary muscles w/c leads to dysfunction and ischemia of the papillary muscles and subacent ventricular myocardium
Mitral Valve prolapse
More common in women ages of 15-30.
- Palpitations, light-headedness, syncope due to arrhythmias
- substernal chest pain not related to exertion
- Bisphasic or inverted T waves in II, III, aVF; premature beats in ECG
- Systolic displacement of mitral leaflet in ECHO
Mitral Valve Prolapse
Cardinal signs of aortic stenosis
- Dyspnea
- angina pectoris
- syncope
Mid systolic ejection murmur shortly after S1
-downward/apex (Gallavardin effect
Aortic Stenosis
Rapid rise and collapse of arterial pulse found in Aortic Regugitation
Corrigan’s pulse
Pulse found in Aortic Regugitation that alternate flushing and paling at root of nail when pressure is applied to tip of nail
Quincke’s pulse
