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Flashcards in murmurs Deck (19):
1

What is the murmur for AR

early diastolic

2

what is the murmur for As

harsh ejection systolic

3

what is the murmur for mr

pansystolic

4

what is the murmur for ms

middiastolic

5

What are the causes of AS?

age - senile calcification, bicuspid a valve, congenital, rheumatic fever, bacterial endocarditis, coarctation, angiodysplasia

6

what are the clinical signs of AS

harsh ejection systolic murmur radiating to carotid, slow rising, low vol pulse, narrow pulse pressure

7

what investigations are done for as

ecg, cxr, echo

8

what is the management for as

only w/ symptomatic, avr +/- cabg, trans aortic valvular implantation, balloon aortic valvuloplasty

9

what are the indications for sx in as

severe w/ symp - syncope, angina, dyspnoea; asymp w/ either lv func <50% or abnormal ETT

10

What are the causes of mr

rheumatic heart disease, endocarditis, marfans, mi, sarcoid

11

what are the signs of mr

esm LSE 2ICS, af, displaced apex, vol loaded thrusting

12

what is the management of mr

anti-coag if in af, diuretics, acei or b blockers if lv impaired, sx if symp, lv dilatation, dysfunc, ischaemic papillary muscle rupture

13

what are the signs of ar

collapsing pulse, wide pressure pulse, apex beat lat displaced, early diastolic murmur

14

what are the causes of ar

congenital, aortic dissection, endocarditis, trauma, rheumatic fever, connective tissue disease, dilatation of aortic root

15

what is the management of ar

acei, arb, sx in severe

16

what are the clinical signs of ms

malar flush, af, tapping apex, left parasternal heave, middiastolic murmur

17

what are the causes of ms

rheumatic fever, congenital, degen, endocarditis, sle, ra, carcinoid

18

what ix for ms

ecg - af, cxr - enlarged la, calcified mv, pulm oedema, echo - valve area <1cm2

19

what is the mx for ms

digoxin, b blocker, warfarin, diuretics, mitral valvuloplasty