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20 Cards in this Set
- Front
- Back
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What is the most common cause of PS?
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congenital
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What are three other causes?
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1. rheumatic (rare)
2. carcinoid 3. prosthetic valve dysfunct |
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What are two different categorizations?
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1. peripheral - junction of pulm arteries
2. infundibular (subvalvular) |
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What is Noonan Syndrome?
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a cardiofacial syndrome with PS, HCM and ASD
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What happens to RV as result?
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systolic pressure overload leads to RVH
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What might RVH lead to?
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infundibular stenosis
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What are 3 other congenital issues are commonly associated?
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1. asd
2. vsd 3. ToF |
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Will RV chamber size be normal or enlarged?
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normal
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Will RA be normal or enlarged?
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enlarged
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What is one physical sign?
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dyspnea on exertion
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What murmur is associated?
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systolic ejection LUSB
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Which sound is affected and how?
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pulmonary ejection sounds
decreased/delayed |
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What are two other signs related to pulse?
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1. increase a wave or jugular venous pulsation
2. sustained RV impulse at mid-lower LSB |
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What may be seen on mmode wave form?
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pv a dip over 7mm
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What will be seen with the valve? (2 things)
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thickening and systolic doming
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What will be seen with PA?
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post stenotic dilation
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Does PS cause PHTN?
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no
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exaggerated a dip
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What are velocities for PS?
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mild < 3
mod 3-4 sev >4 |
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What are the peak gradients?
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mild < 36
mod 36-64 sev > 64 |
