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Heart Valve and Sounds
Pediatrics
34
Medical
Pre-School
10/17/2011

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Cards

Term
What are the causes of the first and second heart sounds?
Definition
vibration of the taut valves immediately following closure along with vibration of the adjacent walls
Term
_______ valves are more taut than _____ valves
Definition
semilunar; A-V
Term
What valves are the semilunar valves?
Definition
pulmonary and aortic valves
Term
What valves are the AV valves?
Definition
tricuspid adn mitral
Term
Which side is the tricuspid valve located on?
Definition
right
Term
Which side is the mitral valve located on?
Definition
left
Term
is the first or second sound a higher frequency
Definition
second
Term
what is the atrial heart sound (4th sound) caused by?
Definition
in rush of blood into the ventricles
Term
what causes the greatest number of valvular lesions?
Definition
rheumatic fever
Term
what valves is most severely damaged from rheumatic fever?
Definition
mitral than aorta then the right heart valves
Term
What does stenosed mean?
Definition
blood cannot flow through
Term
what does regurgitation mean?
Definition
backflow
Term
What happens during scarring of the valves?
Definition
lesions become scar tissue and permanently fuse portions of adjacent valve leaflets
Term
systolic murmur of aortic
Definition
stenosis
Term
diastolic murmur of aortic_______
Definition
regurgitation
Term
systolic murmur of mitral ______
Definition
regurgitation
Term
diastolic murmur of mitral _______
Definition
stenosis
Term
what causes the loudest murmur?
Definition
aortic stenotic lesion
Term
what causes the weakest murmur?
Definition
mitral stenotic lesion
Term
aortic stenosis and regurgitation cause:
Definition
hypertrophy of the left ventricle
increased blood volume
eventual failure of the left ventricle and pulmonary edema
Term
mitral stenosis and regurgitation cause:
Definition
pulmonary edema in mitral valvular disease
enlarged left atrium and atrial fibrillation
compensation in early mitral valvular disease
Term
with aoritc valvular lesion, exercise can cause ______ failure followed by _________
Definition
acute left ventricular failure; acute pulmonary edema
Term
patent ductus arteriosus
Definition
left to right shunt
Term
the ductus arteriosus allows what?
Definition
bypassing the lungs; closes after birth
Term
tetralogy of fallot
Definition
right to left shunt
Term
What happens in tetralogy of fallot
Definition
aorta originates from right ventricle; pulmonary artery is stenosed; blood passes directly into the aorta
Term
tetralogy of fallot leads to an enlarged _______-
Definition
right ventricle
Term
as muct as ____% of the venous blood passes directly from the right ventricle into the aorta
Definition
75%
Term
what is the most common cause of congenital anomalies
Definition
viral infecton in mother during the first trimester
Term
what are methods for oxygenating blood?
Definition
bubbling oxygen through the blood and removing the bubbles
dripping the blood downward over the surfaces of plastic sheets ni the presence of oxygen
blood over surfaces of rotating discs
blood between thin membranes or tubes that are permeable to oxygen
Term
what is extracorpeal circulation?
Definition
a pump and an oxygenating device
Term
What mechanism does the heart use to increase workload
Definition
hypertrophy
Term
What is the most common cause of cardiac hypertrophy?
Definition
hypertension
Term
what are the effects of the late stages of hypertrophy
Definition
coronary vasculature does not increase to the same rate
fibrosis in the muscle
anginal pain
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