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Flashcards in Valve disease Deck (38)
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1

Causes of acute AR

Infective endocarditis
Type A aortic dissection

2

Causes of chronic AR

Congenital - bicuspid aortic valve
Rheumatic heart disease
Connective tissue - Marfan's
Autoimmune - Ank Spond, RA

3

Symptoms of AR

LVF
Arrhythmias
Angina

4

Sx of LVF

SOB

Orthopnoea

PND

5

Signs of AR

Collapsing pulse
Wide pulse pressure
Apex displaced
HS: Soft S2 +/- S3
Early Diastolic Murmur

6

Ix for AR

Bloods
ECG
CXR - pulmonary oedema, cardiomegaly
Echo

7

Mx of AR

Optimise RFs - statins, antihypertensives, DM
Aortic valve replacement

8

Causes of mitral stenosis (MS)

Rheumatic fever
Prosthetic valve
Congenital

9

Symptoms of MS

Dyspnoea
Chest pain
AF - atrial hypertrophy
Haemoptysis

10

Cause of haemoptysis with MS

Rupture of bronchial veins

11

Signs of MS

AF
Malar flush
Raised JVP
HS: Loud S1
Mid Diastolic Murmur

12

When does MS manifest

Manifest when orifice < 2 square cm

13

Complications of MS

Pulmonary HTN
Emboli
Recurrent laryngeal nerve palsy
Dysphagia - oesophageal compression

14

Sign of recurrent laryngeal nerve palsy

Hoarse voice

15

Mx of MS

Optimise RFs
Percutaneous ballon valvuloplasty
Surgical valvotomy
Valve replacement

16

Causes of MR

Mitral valve prolapse
LV dilatation
Post MI
Rheumatic fever
Connective tissue - Marfan's

17

Symptoms of MR

Dyspnoea
AF
Pulmonary HTN
Pulmonary Oedema

18

Signs of MR

AF
Apex displaced
HS: Soft S1
Pan Systolic Murmur

19

Mx of MR

Optimise RFs
Valve repair
Valve replacement

20

Barlow syndrome

Mitral valve prolapse

21

Causes of mitral valve prolapse

MI
Marfan's
Turner's

22

Signs of mitral valve prolapse

Mid Systolic click
+/- Late Systolic Murmur

23

AR murmur

Early Diastolic Murmur

24

MS murmur

Mid Diastolic Murmur

25

MR murmur

Pan Systolic murmur

26

AS murmur

Ejection Systolic murmur

27

AS causes

Senile calcification (60yrs +): commonest
Congenital
Rheumatic fever

28

Congenital causes of AS

Bicuspid valve

William’s syndrome

29

Symptoms of AS

Angina

Dyspnoea

Syncope (on exertion)

LVF

30

Signs of AS

Slow rising pulse
Ejection systolic murmur

Radiates to carotids