Valvular Heart Disease Flashcards Preview

Conditions > Valvular Heart Disease > Flashcards

Flashcards in Valvular Heart Disease Deck (17):
1

Symptoms of valvular heart disease

Chest pain, dizziness, breathlessness, characteristically on EXERTION

2

Orthopnea?

Shortness of breath when lying flat

3

Paroxsymal nocturnal dyspnoea?

When SOB wakes person up in the night

4

New York Heart Association Functional Classification

Class I - No limitation
Class II - Slight limitation – ordinary activity
Class III - Marked limitation –less than ordinary activity
Class IV - Severe limitation –minimal activity or at rest

5

Normal position of apex beat?

5th left intercostal space

6

Grading of murmurs

I. Very quiet
II. Quiet but easy to hear
III. Loud
IV. Loud with thrill
V. Loud audible without a stethescope (with thrill)
VI. Loud audible from a distance (with thrill)

7

Causes of aortic stenosis

Congenital (bicuspid)
Old age/degenerative
Rheumatic fever

8

Aortic stenosis on ECG

LVH

9

When would you give TAVI instead of surgery?

Too high risk for surgery
Medical –co-morbidity eg bad COPD, previous stroke
Technical reasons eg prev CABG

10

Myxomatous degeneration

Floppy mitral valve

11

Drugs used to treat mitral regurgitation?

DADW
Diuretics, ACEI's, Digoxin and Warfarin

12

Main cause of mitral stenosis?

Rheumatic

13

Murmur localised to apex?

Mitral stenosis

14

Cardiac cachexia and right heart failure could develop from what?

Mitral stenosis

15

Drugs used to treat mitral stenosis?

Diuretics, beta blockers, digoxin, warfarin

16

Which part of the heart could marfan's syndrome and aortic dissection affect?

The annulus, this could then cause aortic regurgitation

17

Drugs used to treat aortic regurgiation?

ACEi's, angiotensin receptor blockers, diuretics