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Patho chap 18
Valvular disease
Question | Answer |
---|---|
what two things do valve disorders place patients at risk for? | increased clot formation and increased risk for infection |
the two, normal heart sounds heard during systole and diastole are called? | lub and dub |
the first sound is heard at the beginning of the systole with the closure of what two valves? | tricuspid and mitral valve |
the second sound is heard during the beginning of diastole with the closure of what two valves? | pulmonary and aortic valve |
stenosis | narrowing - which leads to increased resistance to back flow and blood backs up |
regurgitation/ insufficiency | loose valve which leads to leakage of blood flowing backwards |
the two most common valve disorders are | mitral and aortic stenosis |
murmurs | are sounds heard due to turbulent blood flow through the heart or great vessels |
physiologic murmurs | innocent or functional, heard during states of high blood flow in heart (stress, fever, pregnancy), usually doesn't cause symptoms and will goes away |
pathologic murmurs | caused by valve deformity or dysfunction, may result in hemodynamic consequences, medical intervention needed |
what are complication a patient may develop if they have a valvular disorder | dysrhythmias, thrombus formation, stroke, MI, heart failure |
what are some common causes of valvular disorders | acquired causes -- atherosclerosis, hypertension, rheumatic disease congenital malformations - marfan syndrome |
what is the major cause of rheumatic heart disease | rheumatic fever |
the gold standard for diagnosing a valvular disorder is what? | echocardiography |
TTE | most commonly used: noninvasive, transducer placed on chest wall |
TEE | transducer inserted into esophagus, more sensitive, sedation required, used to see stuff better |
common causes of mitral stenosis | rheumatic fever & mitral annular calcification |
what is occurring at the valve during mitral stenosis | narrowing of the mitral valve |
where is fluid backing up in mitral stenosis | in the LA |
symptoms of mitral stenosis | pulmonary edema |
common cause of mitral regurgitation | following myocardial infarction |
what is occurring at the valve during mitral regurgitation? | the valve cannot close |
where is fluid backing up during mitral regurgitation | LA |
symptoms of mitral regurgitation | confusion, weakness, cool extremities, low urine output |
common causes of aortic stenosis | aortic sclerosis, RHD, congenital valve defect |
what is occurring at the valve during aortic stenosis | difficult for LV to eject blood because of high resistance |
where is fluid backing up during aortic stenosis | LV into LA |
symptoms for aortic stenosis | confusion, weakness, cool extremities, low urine output |
common causes for aortic regurgitation | aortic sufficiency |
what is occurring at the valve during aortic regurgitation | poor closure of aortic valve during diastole |
where is fluid backing up in aortic regurgitation | LV into LA |
symptoms for aortic regurgitation | confusion, weakness, cool extremities, low urine output |
common causes for pulmonic stenosis | pulmonary hypertension (working against the lungs) |
what is occurring at the valve during pulmonary stenosis | narrowing of pulmonic valve |
where is fluid backing up during pulmonic stenosis | RV into RA |
symptoms of pulmonic stenosis | symptoms of right HF |
common causes of tricuspid stenosis | infective endocarditis (IV drug use) |
what is occurring at the valve during tricuspid stenosis | narrowing of tricuspid valve |
where is fluid backing up during tricuspid stenosis | RA into vein |
symptoms for tricuspid stenosis | symptoms of right HF |