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21 Cards in this Set
- Front
- Back
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What can valvular unvolvement by disease cause? |
stenosis insufficiency
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*Which is the most common valvular disease? |
aortic stenosis |
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Which valve is least commonly infected with valvular disease? |
pulmonary |
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*What is the number one etiology of valvular disease in the US? |
aging |
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What is the number one cause of valvular disease in the world? |
RHD |
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What effect does stenosis have? |
failure of valve to open completely (impedes systole) |
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What effect does insufficiency have? |
failure of valve to close completely (allows reverse flow) |
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Does valvular dysfunction always lead to severe and fatal pathology? |
No, it can be physiologically unimportant |
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*Which murmur is pansystolic pandiastolic? |
Patent ductus arteriosus |
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Do symptoms always reflect severity of valvular disease? |
No, you can be asymptomatic and need immediate treatment or be severely symptomatic and not t require any treatment |
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*Stenosis of which two valves accounts for two thirds of all valvular disease? |
LEFT SIDE
aortic (most common) mitral |
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Do mitral annular calcifications normally affect valvular function? |
nope! |
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Which population does MVP most commonly affect? |
women aged 20-40 |
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What valvular disease is myxomatous degeneration used in the context of? |
MVP |
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What accumulates in myxomatous degeneration? |
dermatan sulfate (a glycosaminoglycan) |
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How is MVP usually defined and revealed? |
echocardiogram |
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What can be auscultated with a MVP? |
mid-systolic click |
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What can be auscultated with mitral regurg? |
late systolic or holosystolic murmur |
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What are some etiologies of MVP? |
unknown -> genetics? with infection causing weakness? |
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What are possible complications of MVP? |
Infective endocarditis mitral insufficiency stroke/systemic infarct arrythmias |
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Do most people with MVP suffer from complications? |
NOPE! only 3% |
