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Flashcards in Stenosis Deck (16):
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Most common valvular abnormality adults?

Aortic stenosis

1

Aortic stenosis in patient younger than 30 years is usually caused by?

Congenital bicuspid valve

2

Aortic stenosis in patients 30 to 70 years old is usually caused by?

Congenital stenosis or acquired rheumatic heart disease

3

Aortic stenosis in patients older than 70 years is usually caused by?

Degenerative calcific stenosis

4

Physical findings in aortic stenosis?

1. Narrow pulse pressure
2. Harsh late peaking systolic murmur
3. delayed slowly rising carotid upstroke (pulsus parvus et tardes)

5

Late peaking systolic murmur of aortic stenosis is heard best where?

Right second intercostal space with radiation to carotid arteries

6

In a patient with aortic stenosis expected ECG conclusion? Expected Doppler echo finding?

Left ventricular hypertrophy. Thickened, abnormal valve

7

Normal surface area of aortic valve? Surface area in severe aortic stenosis?

3-4 cm squared. 1 cm squared.

8

Typical symptoms of aortic stenosis? Mean survival with each symptom?

1. Angina pectoris (retrosternal chest pain precipitated by exercise) - 5 years
2. syncopal episodes - 3 years
3. Heart failure - 2 years

9

Patients with severe stenosis and symptomatic should be considered for?

Aortic valve replacement

10

Test used to provide definite assessment of aortic valve area and pressure gradient?

Cardiac catheterization

11

In aortic stenosis patients who are not good candidates for valve replacement - treatment?

Balloon valvuloplasty but this will provide only temporary relief of symptoms

12

Almost all cases of mitral stenosis in adults are secondary to?

Rheumatic heart disease

13

Physical signs of mitral stenosis?

Loud S1 and then opening snap with S2 followed by low-pitched diastolic rumble

14

To hear low pitched diastolic rumble, listen where?

At apex with the bell of the stethoscope

15

Complications of mitral stenosis?

Left atrial dilation leading to pulmonary hypertension

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