PR/PS Flashcards Preview

Cardiology IPAP > PR/PS > Flashcards

Flashcards in PR/PS Deck (30)
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1
Q

What is most common cause of PS?

A

CHD

2
Q

Normally is dilation or HF present initially in PS?

A

No

3
Q

If PS is acute and there is HF S/S what could be expected to be the cause?

A

ASD or PR

4
Q

When does RHF occur with PS?

A

Later in life 50’s

5
Q

Can people live with PS?

A

Yes, well into adulthood

6
Q

Is PS asymptomatic?

A

Yes initially, then develop exertion all S/S or RHF

7
Q

What additional sounds can be heard with PS?

A

S2 split and S4

8
Q

What is split during S2?

A

A2 closes first, then pulmonic

9
Q

Where is S4 heard in PS?

A

LSB

10
Q

WHat does PR sound like?

A

Crescendo-decrescendo systolic heard w/ bell or diaphragm at LUSB
+ early systolic EC

11
Q

What tests are considered with PS?

A

EKG, Echo, Cardiac cath

12
Q

What is seen on EKG w/ PS?

A

RVH

13
Q

What test is diagnostic w/ PS?

A

Echo

14
Q

When is cardiac cath performed w/ PS?

A

Patient has Doppler peak gradient greater than 36mmgHG or Balloon valvotomy canidates

15
Q

What Diagonstic tests should be performed routinely and how long for PS?

A

EKG and Echo

Baseline then Q5-10yrs

16
Q

When is PS treated and how?

A

PS must be severe

Balloon valvotomy via cath

17
Q

What is the MC reason for PR?

A

Severe Pulmonary HTN

18
Q

What does PR sound like?

A

Early diastolic ejection murmur w/ ejection click heard at pulmonic area

19
Q

What other sounds are heard with PR

A

Graham-Steele murmur

20
Q

What does Graham-Steele murmur sound like?

A

High pitched diastolic decrescendo heard at LSB

21
Q

What is Graham-Steele murmur due to?

A

Pulmonary HTN

22
Q

What does Graham-Steele murmur sound similar to?

A

AR

23
Q

What are DX test for PR?

A

EKG, CXR, Echo

24
Q

What can be seen on echo w/ PR?

A

RVH

25
Q

What can be seen on EKG w/ PR?

A

RVH

26
Q

What can be seen on CXR w/ PR?

A

RVH + Prominent pulmonary arteries.

27
Q

What is diagnostic test for PR?

A

Echo

28
Q

How do you TXT PR?

A

TXT underlying pulmonary HTN w/ diuretics, O2, anticoagulant

29
Q

When should surgery be considered for PR?

A

Severe PR

30
Q

What are less common potential S/S of PR?

A

Cough, Hemoptysis, or hoarseness