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Lecture 8
Mitral Valve and Tricuspid Valve Disease
49
Health Care
Professional
12/03/2013

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Cards

Term
What leaflet is the larger of he two leaflets
Definition
Anterior leaflet
Term
What leaflet is the smaller of the to leaflet
Definition
Posterior leaflet
Term
On the MV mode the D-E slope has another name what is is
Definition
The excursion
Term
In the m-mode what exactly is the D-E slope demonstrating
Definition
how much the MV is opening
Term
In the MV m-mode when dose rapid filling being
Definition
E-F
Term
When LVEDP is present what will you seen in MV M-mode
Definition
B-Bump
Term
Passive filling is also called
Definition
diastasis
Term
MV leaflets/ apparatus are danged so that the valve is unable to open completely
Definition
Mitral Stenosis
Term
MS results in
Definition
Increased LA and LAE
Term
Most common cause of MS is...
Definition
Rheumatic Fever: Rheumatic Heart Disease
Term
This is no longer common in the US due to improved and available antibiotics
Definition
Streptococcal Infections
Term
In Valvular hear diseases when to S&S appear
Definition
20-25 years later
Term
in this other causes of MS both leaflets attach too one chordae and one papillary muscle resulting in a parachute appearance
Definition
Congenital
Term
In this causes of MS 50% who have it will have MR it also forms on the posterior portion first
Definition
MAC
Term
This cause of MS is only simulating MS, it is also cause for concern for TIA and Stroke
Definition
Myxoma
Term
What are the heart sounds heard with MS
Definition
Loud S1, Opening Snap, Diastolic rumble
Term
Signs and Symptoms oof MS
Definition
Dyspena, hoaresness, Paroxysmal Nocturnal Dyspnea, hepatic congestion, fatigue, hemoptysis
Term
What is Normal MV Area
Definition
4-6cm2
Term
critical MS area is
Definition
less than 1.0cm2
Term
When LA pressures rise above 18mmHg
Definition
Pulmonary edema can occur
Term
Norma LA pressure is
Definition
5-10mmHg
Term
2D M Mode findings of MS
Definition
Hocky stick, thickend leaflets with reduced opening bobility yring diastole M-Mode (and @D) both anterior and Posterior leaflets move anterior in diastole
Term
Treatments for MS
Definition
Balloon Valvuloplasty, replacement
Term
Barlow Syndrome is also know as
Definition
MVP
Term
What are the Symptoms of MVP
Definition
Chest pain, dyspnea, panic attack, anxiety
Term
MVP occurs more frequently in...
Definition
Female
Term
What are the two types of MVP
Definition
Mid-Late Systolic, Holosystolic
Term
MVP should never be diagnosed in what view
Definition
Apical 4
Term
MVP is often associated with...
Definition
Flail of the prolapsed leaflet
Term
What is the treatment for MR caused by MVP
Definition
Quadrangular Resection
Term
This other cause of MR may be chronic or acute and has transient symptoms and a murmur
Definition
Ischemia (papillary muscle dysfunction -acute)
Term
This chronic condition is when the LV enlarges and the chordae don't
Definition
2degree LV enlargement
Term
This acute cause of MR, Pulmonary edema and death may occur. This condition result in a Flail leaflet
Definition
Chordal Rupture
Term
Posterior Sub-Mitral Calcification is another name for
Definition
MAC- Mitral Annular Calcification
Term
What view is the Anterior TV leaflet seen
Definition
All views
Term
What view is the Posterior TV leaflet seen
Definition
RV tilt only
Term
What view is the septal TV leaflet seen
Definition
All view except RV tilt
Term
What are the Etiologies of TS
Definition
Rheumatic, Congenital, Carcinoid Heart disease, Myxoma
Term
This cuase of TS is nearly always associated with MS
Definition
Rheumatic
Term
This defect is rare, there must also be a VSD, ASD present to allow for blood floe
Definition
Congenital- Tricuspid Atresia
Term
gastrointestinal tumors secrete serotonin, that freeze the TV open in this cause of TS
Definition
Carcinoid Heart Disease
Term
This most common benign Tumor can cause TS
Definition
Myxoma
Term
Symptoms/ Signs of TS
Definition
JVD, Acites, Diastolic opening snap,hepatomegaly, pulsatile liver
Term
M-mode Findings of TS
Definition
Similar to MV thickened leaflets deceases in EF, M-mode not helpful in diagnosis TS
Term
2D Findings for TS
Definition
1. Thickened leaflets with decreased excursion, motion during diastole
2. Doming of leaflets (diastole)**** BEST INDACATOR OF STENOSIS
3. RAE, dilated IVC
Term
Hemodynamics os TS
Definition
1. RA has  pressures, enlarges as a compensatory mechanism
2. Pressures backup into the great veins, IVC, SVC.
3. These  pressures cause the JVD/ IVC distention.
4. This causes hepatic congestion, and pedal edema/ascites
Term
What are the cuases of TR
Definition
PHTN, TS (rheumatic), endocarditis, congenital abnormalities
Term
This anomaly will appear with small RV and a large RA
Definition
Ebstines Anomaly
Term
Sings and Symptoms of TR
Definition
Systolic murmur increased with inspiration, JVD, severe leads to hepatic congestion and pedal edma
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