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______ is best! - ANSWER-prevention
describe aortic regurgitation - ANSWER--rheumatic fever, infections,
Marfan
-blood leaks from aorta back to left ventricle
-increased left ventricle pressure
-ventricular hypertrophy leads to ischemia and left sided heart failure
-left ventricular hypertrophy
-may lead to left sided HF
,-C/O throbbing or pounding bc of large LV stroke volume-bounding
pulse
-CP, fatigue, dyspnea, peripheral edema
diagnosis:
-echo
treatment:
-medications/surgery
describe aortic stenosis - ANSWER--calcium deposits on the aortic
cusps (elderly)
-obstructs aortic flow
-increased LV pressure
-ventricular hypertrophy leads ischemia and left side heart failure
-may lead to L-sided HF
-signs and symptoms: syncope, dyspnea, chest pain, low systolic BP,
faint pulses, systolic murmur
diagnosis: echo, treat w medications or surgery
describe mitral regurgitation - ANSWER-insufficiency
-usually MI
-genetic (Marfan)
, -RHD
-valve fails to close completely
-blood flows back into left atrium
-increased LA pressure
-LA and LV dilate and hypertrophy to compensate for extra volume
-if severe and uncorrected will lead to left-sided HF
-clinical manifestations are due to a backflow of blood from the LV to
the LA
-orthopnea (SOB while lying flat), cough, DOE, chest pain, chronic
weakness and fatigue, high pitched blowing murmur apex
diagnosis: echocardiogram
treatment:
medications
surgery (preventative, antibiotics)
describe mitral stenosis - ANSWER-** same signs of HF
-common
-rheumatic fever or calcification
-stiff valve impedes blood flow
-increase LA pressure
-atrial hypertrophy