Term
| what is the murmur assoc w aortic stenosis? |
|
Definition
harsh systolic ejection murmur - late peaking
s4 gallop from LVH |
|
|
Term
|
Definition
1. angina
2. syncope
3. CHF |
|
|
Term
| median survival of aortic stenosis with angina: |
|
Definition
|
|
Term
| median survival of aortic stenosis with syncope: |
|
Definition
|
|
Term
| median survival of aortic stenosis with CHF: |
|
Definition
|
|
Term
| what is the test of choice in Dx of aortic stenosis? |
|
Definition
|
|
Term
| Echo will show what in aortic stenosis? |
|
Definition
|
|
Term
|
Definition
| valve replacement; synthetic or bioprosthetic |
|
|
Term
| which abnormalities of the leaflets may lead to aortic regurge? 4 |
|
Definition
1. Rheumatic
2. Bicuspid
3. Degenerative
4. Endocarditis |
|
|
Term
| 2 etiologies of aortic regurge: |
|
Definition
1. abnormalities in the leaflets
2. Dilation of aortic annulus |
|
|
Term
| aortic regurge may lead to _____ ______ ______ in the lungs. |
|
Definition
| pulmonary venous congestion |
|
|
Term
| which chambers are enlarged in aortic regurge? |
|
Definition
|
|
Term
| Major Sx of aortic regurge: |
|
Definition
Dyspnea on exertion; fatigue
(inadequate cardiac output) |
|
|
Term
| what is the test of choice in Dx aortic regurge? |
|
Definition
|
|
Term
| Echo shows what in aortic regurge? |
|
Definition
|
|
Term
| What is the name of the murmur assoc w aortic regurge: |
|
Definition
|
|
Term
| what is making the sound of the murmur in aortic regurge? |
|
Definition
| vibration of the anterior leaflet of the mitral valve |
|
|
Term
| Tx for symptomatic aortic regurge: |
|
Definition
|
|
Term
| Tx for asymptomatic aortic regurge: |
|
Definition
1. serial check ups w echo
2. SBE prophylaxis
3. vasodilators
4. diuretics |
|
|
Term
| 2 etiologies for mitral valve regurge: |
|
Definition
1. Alterations in leaflets/commissures/annulus caused by rheumatic/MVP/Endocarditis
2. Alterations of LV or LA size and function |
|
|
Term
|
Definition
1. fatigue/weakness
2. Dyspnea/orthopnea
3. Right sided CHF
4. MVP |
|
|
Term
| what is the murmur assoc w mitral valve regurge? |
|
Definition
| holosystolic apical blowing murmur |
|
|
Term
| where is the apical impulse displaced to in mitral regurge? |
|
Definition
| apical impulse is displaced laterally |
|
|
Term
| S3 gallop in mitral regurge is increased in volume when? |
|
Definition
|
|
Term
| test of choice for mitral regurge: |
|
Definition
|
|
Term
| Echo shows what in mitral regurge? |
|
Definition
|
|
Term
| 2 categories of Tx for mitral regurge: |
|
Definition
1. Drugs (diuretics/vasodilators)
2. Surgery (MV replacement/MV repair) |
|
|
Term
| what is the 10yr survival rate for mitral valve replacement? |
|
Definition
|
|
Term
| what is the 10yr survival rate for mitral valve repair? |
|
Definition
|
|
Term
| S/Sx for mitral valve prolapse: |
|
Definition
1. CP
2. Palpitations
3. Mid-systolic click
4. late systolic murmur |
|
|
Term
| prognosis for mitral valve prolapse: |
|
Definition
| benign; rare complications |
|
|
Term
| what is the test of choice in Dx mitral valve prolapse? |
|
Definition
|
|
Term
| which valvular disorder leads to left atrial HTN? |
|
Definition
|
|
Term
| mitral stenosis may lead to which arrhythmia? |
|
Definition
|
|
Term
| mitral stenosis leads to stasis of flow in the left atrium which leads to high risk of: |
|
Definition
|
|
Term
| which valvular disorder leads to limited left ventricular filling? |
|
Definition
|
|
Term
| what affect would mitral stenosis have on pulmonary vasculature? |
|
Definition
| pulmonary venous congestion |
|
|
Term
|
Definition
1. Dyspnea
2. Fatigue
3. Intolerance to increased volume
4. Intolerance to increased HR
5. hemoptysis |
|
|
Term
| what accounts for the etiology of nearly all cases of mitral stenosis in adults? |
|
Definition
|
|
Term
| what are the heart sounds assoc w mitral stenosis? |
|
Definition
1. loud S1
2. opening snap
3. Diastolic apical murmur |
|
|
Term
| what is the test of choice in Dx mitral stenosis? |
|
Definition
|
|
Term
| echo shows what in mitral stenosis? |
|
Definition
|
|
Term
| what is the surgical Tx for mitral valve stenosis? |
|
Definition
1. Percutaneous balloon valvulaoplasty
2. open commisurotomy - valve repair
3. mitral valve replacement |
|
|
Term
| in percutaeous balloon valvulaoplasty the valve has to meet criteria: |
|
Definition
| non-calcified pliable valve |
|
|
