[13] Pathology of Valvular Heart Disease Flashcards Preview

[OS 213] CVS Module > [13] Pathology of Valvular Heart Disease > Flashcards

Flashcards in [13] Pathology of Valvular Heart Disease Deck (25):
1

Define: Valvular Insufficiency

Failure to Close Completely

2

Cause of Valvular Insufficiency

Abnormal Cusp/Leaflet
Abnormal Surrounding/Supporting Structures

3

Bacteria that causes Rheumatic Fever

Group A B-Hemolytic Streptococcus

4

Arrange in Order of Frequency of Valves affected in RHD

Aortic Valve
Mitral Valve
Pulmonary Valve
Tricuspid Valve

MV > AV > TV > PV

5

Both MV and AV are affected in what % of patients?

33%

6

Prosthetic Heart Valves are notorious for causing?

Infective Endocarditis

7

Vegetations of Infective Endocarditis are more common on?

Left-Sided Cardiac Valves

8

[T/F]

Thrombotic vegetations of Infective endocarditis can be seen in intimal surfaces of systemic/pulmonary arteries or veins

(c/o Sia, Silava, Solis)

True

9

Causes of IE

(c/o Sia, Silava, Solis)

1. Turbulent blood flow
2. Entry of microorganisms and adherence to thrombus

10

Conditions associated with IE in normal heart valves?

(c/o Sia, Silava, Solis)

1. Intravenous drug users
2. Immunocompromised hosts

11

Most common predisposing condition for bacterial endocarditis in children

(c/o Sia, Silava, Solis)

Congenital Heart Disease

12

[T/F] Vegetations are more common in right sided cardiac valves?

(c/o Sia, Silava, Solis)

F

Left sided cardiac valves

13

Clinical Symptoms of Bacterial IE

(c/o Sia, Silava, Solis)

Fever, Anemia, Systemic embolization, CHF, Murmur, Vegetations/destruction of valves of ECG, Positive blood culture

14

Local Complications of Bacterial IE

(c/o Sia, Silava, Solis)

Valvular Stenosis/Heart Murmur
Acute Heart Failure
Aneurysm
Local Sepsis

15

Systemic Complications

(c/o Sia, Silava, Solis)

Bacteremia
Embolization of Thrombus Infarction/ischemia
Abscess Formation
Infective Vasculitis
Mycotic Aneurysm

16

Valve most commonly singly affected by non-bacterial thrombotic endocarditis

(c/o Sia, Silava, Solis)

AV Valve

17

Most striking cardiac lesion in SLE

(c/o Sia, Silava, Solis)

Libman-Sacks Verrucous Vegetations

18

Description of IE Vegetations

(c/o Sia, Silava, Solis)

Bulky, friable lesions on the valve

19

Description of NBTE Lesions

(c/o Sia, Silava, Solis)

Small/medium red/tan vegetations attached at the line of closure of the valve leaflets

20

Description of vegetative lesions found in SLE?

(c/o Sia, Silava, Solis)

Small/medium vegetations on either or both sides of the valve leaflets

21

Order of Valves Most Commonly Affected by Valvulitis

(c/o Sia, Silava, Solis)

Mitral > Aortic > Tricuspid > Pulmonic

22

Complications of CRHD

(c/o Sia, Silava, Solis)

Bacterial Endocarditis
Mural Thrombi
CHF
Adhesive Pericarditis

23

In Mitral Regurgitation, cusps can become

(c/o Sia, Silava, Solis)

Perforated
Retracted
Expanded

24

In Mitral Regurgitation, chordae can become

(c/o Sia, Silava, Solis)

Short or Long

25

In Mitral Regurgitation, a dilated ring signifies

(c/o Sia, Silava, Solis)

Marfan's Disease