Aortic Valve Desies

Front 1

Creshendo decreshendo sistolic murmer at left sternal border

high pitched sound after S1
what is the diagnosis

Back 1

Aortic stenosis caused by congenital bicusped valve

Front 2

What are the 3 edeologies of aortic stenosis

Back 2

congenital bicusped aortiv valve
rumatic heart desies

senile or degenerative calsified valve that lipit ability of valve to open

Front 3

Rumatic desies causing aortic stenosis what heppends

Back 3

the ends of the valve get tethered together

Front 4

if some one develups aortic stenosis before 65 we think of

Back 4

congenital bicusped aortic valve
not a problem at birth but does not age as well

Front 5

what heppends to the pressures in the LV and aorta in aortic stenosis

Back 5

harder to get blood through the valve so you will have a guild up of pressure in the LV in order to get blood out. and this will lead to hypertophy of the LV

Front 6

What is the affect of LV pressure increse

Back 6

concentric hypertrophy
thick walls without a dialated cavity

stiffness of the vessle, the diastolic presure in the ventrical goes up --> CHF

Front 7

simtoms of aortic stinosis

Back 7

CHF
can get angina
can get effort related syncopy
- you dont develup simtoms till late
- but once you do only have 3-4 years so you operate early

Front 8

Which simtom of aortic stenosis is has the worst prognosis

Back 8

CHF half dead in 2 years

Front 9

how do you diagnose aortic stenosis

Back 9

- creshendo decreshendo systolic murmer
- may have a click on aortic valve opening if it is bycusped (right after first heart sound)
- carotid has pulces parvis atardis
(small late pulce - peak delayed)
- left ventricular hypertrophy
EKG - left ventricle hypertoph
ECHO

Front 10

what is a senile aortic valve

Back 10

calciam build ups behind the valve so that it cant open up as well

Front 11

What is considerd criticsl stenotic aortic valve

Back 11

less then .5 about the size of a pencil

Front 12

what is the disadvantage of non tissue valves (micanical valves)

Back 12

need anticoagulation life long
note that these last longer then tissue valves

Front 13

what is the prolem with tissue valves

Back 13

dont need anticoagulations
but dont last as long
use them in older pople that may not need a second operation

Front 14

path of aortic regurge

Back 14

caused by valve trouble or aortic root problem
- LV presure
- incresed volume - dilation and exentric hypertophy
- CHF fallows

Front 15

Aortic stinosis

Back 15

preser oberload in LV
consentric hypertrophy

Front 16

aortic regerve what type of hypertrophy

Back 16

volume overlode
LV dialation
extrisnic hypertrophy
diastolic problem

Front 17

wide pulse presure

Back 17

ortic stinosis
you are pushing rilly hard to get blood into the aorta so high diastolic PB but then during sistoly you are loosing some of that volume so low systolic presure.
note only in the crois stinosis

Front 18

what is the murmer in aortic stinosis

Back 18

decrechendo murmer during diastoly
you will hear it best when the person is leaning forword and at the end of exporation

Front 19

sistolic clic with creshendo decreshendo murmer

Back 19

aortic bicusped valve with stenosis
- use provilactic amoxicilin before dental work
- do pritty well but start to get fetigue