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Valvular Stenosis
Dewitt
7
Other
Undergraduate 2
01/02/2016

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Cards

Term
Proximal to stenotic valve
Definition
Blood backs up and pressure increases. This is because the backup drives the pressure up and creates a pressure overload pattern (increased afterload). Afterload is the resistance against which the heart must contract. This leads to Hypertrophy
Term
At the level of the stenotic valve
Definition
The stenotic leaflets experience doming during the opening phase and the valvular area decreases within the valve orifice. Doming is caused by pressure pushing on the undersurface of tethered leaflets while they are open.
Term
Distal to the stenotic valve
Definition
The flow turbulent and pressure decreases. The increased velocity and decreased area create turbulent flow.
Term
The decreased flow distal to the stenosis causes pressure to decrease. The increased pressure proximal to the stenosis and the decrease pressure distal to the stenosis generate ____ across the valve while it is open.
Definition
Pressure Gradient
Term
The maximum PG is acquired via CW Doppler which measures velocity. So, the greater the _____ the greater the ______.
Definition
velocity / PG
Term
Formula for AS is the Continuity Equation
Definition

(Velocity 1) (Area1) = (Velocity 2) (Area 2)

LVOT                           AOV

 

 

AVA= (.785)(LVOT diameter)²(V1)PW

(V2)CW

Term
TVA =
Definition
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