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21 Cards in this Set
- Front
- Back
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Causes of Aortic stenosis
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Calcific in elderly
Congenital bicuspid in young RHD (usu w/ mitral stenosis too) Subaortic = HOCM Supraaortic = coarctation |
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Angina
Syncope (exertional) Heart failure Delayed carotid upstroke |
Symptoms of aortic stenosis
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Timing: Systolic
Quality: crescendo-decrescendo murmur Location: RUSB Radiation: carotids |
Murmur of aortic stenosis
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Results in:
Concentric LVH LAE RBBB |
Aortic stenosis
concentric LVH is due to pressure overload |
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Causes of aortic insufficiency
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RHD
Bicuspid valve Endocarditis |
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Head bobbing, pulsing uvula
Wide pulse pressure Systolic and diastolic bruits over femoral vein Pulmonary edema Water hammer pulse |
Clinical features of Aortic insufficiency
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Ejection click after S1
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Aortic stenosis
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Location: LUSB
Timing: Diastolic Quality: Decrescendo +/- diastolic rumble at apex |
Aortic insufficiency
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What is AUstin-Flint murmur?
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Diastolic rumble at apex due to AI jet interfering w mitral flow
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eccentric LVH
LAD Cardiomegaly +/- Aortic dilitation |
Findings of Aortic insufficiency
eccentric LVH 2/2 volume overload |
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Causes of Mitral valve stenosis
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RHD with commissural fusion
Congenital Myxoma Thrombus |
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Dyspnea
Pulm edema Afib Embolic events |
Features of mitral stenosis
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Location: apex
Timing: diastolic Quality: Rumble w pre-systolic accentuation +/- opening snap after S2 LOUD S1 |
Murmur of mitral stenosis
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LAE
RVH +/- afib dilated LA |
Mitral valve stenosis findings
cant get bld through mitral, so backs up into LA and then into RV. |
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p mitrale
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LAE often due to mitral stenosis
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Causes of Mitral regurg
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Leaflet dysfxn
-myxomatous degeneration -endocarditis -RHD Ruptured chordae Papillary muscle dysfxn Annulus dilation |
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Dyspnea, pulmonary edema
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Sx /signs of mitral regurgitation
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Location: Apex
Timing: Systolic Quality: Holosystolic Radiation: Axilla |
Murmur of mitral regurgitation
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LAE
LVH +/- afib Dilated LA, LV Pulmonary congestion |
Findings in Mitral regurg
Blood leaks into LA during systole when supposed to be pushed out aorta-> lae and lvh |
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Causes of MVP
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mxyomatous degeneration
Marfans Ehler's danlos |
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Sx of MVP
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none usually
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