Valvular Heart Disease - Summary Notes

Valvular Disease
mon
and Murmurs
common are aortic stenosis and mitral regurgitation (Systolic murmurs).
·

most

otherwise mitral/aortic valve disease is
by far most prevelant.

The malfunction of value
puts load the
preceeding chamber.
·
a on




Diagnoses made with
echocardiogram.
·

are




surgical valve replacementrequired due to
·



very poor prognosis.
replacement values can be grafted from human/animal, or mechanical.
this carries risk of clots/stroke.
Classic Symptoms:
Causes:
Syncope
Angina
-


Calcification Dys,noea
Disease
Rheumatic Heart
-




-

Connective Tissue Disorder (e.g. Ehlers-Danlos)
-


Infective Endocarditis STENOSIS




Aortic Stenosis (AS
Classic Presentation:
Angina, Syncope, Dyspnoea, HF.



Signs:
I
hypertrophy
-




-

Reduced pulse pressure
-




systolic thrill

high-pitch systolic murmur
radiating to carotid
-




Quiet/silentS2
-




Mitral Regurgitation (MR
main presentation is Dyspnoea.
·




mitral valve prolapse, usually asymptomatic.
·
can which is



Signs:
-


LV Dilation
AF
-




low-pitch systolic to axilla
radiating
murmur
-




enlargement/bifidp-wave
LA
-