299 Ch. 24 structural, infectious, and inflammatory cardiac disorders

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What do valvular disorders control?

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42 Terms

1

What do valvular disorders control?

Blood flow from the heart to the pulmonary artery and aorta by opening and closing in response to blood pressure changes.

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2

What are the atrioventricular valves?

The tricuspid and mitral valves that separate the right and left atria from the right and left ventricles.

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3

What is mitral valve prolapse?

The stretching of the mitral valve into the atrium during systole, which may produce no symptoms.

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4

What is regurgitation in valvular disorders?

When blood flows backward due to improper valve closure.

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5

What is stenosis?

When the valve doesn't open completely, thus slowing blood flow.

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6

What is a common symptom of valvular disorders?

Fatigue, shortness of breath (SOB), dizziness, lightheadedness, palpitations, or chest pain.

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7

What diagnostic tool is used for assessing mitral disorders?

Echocardiogram.

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8

What is a treatment option for severe mitral regurgitation?

Valve replacement or repair.

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9

What can cause mitral stenosis?

Rheumatic endocarditis.

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10

What does the assessment for mitral stenosis typically reveal?

Low-pitched rumbling murmur and a weak or irregular pulse.

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11

What medication is commonly used for patients with aortic regurgitation?

Antihypertensive meds and management of arrhythmias.

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12

What is aortic stenosis?

Narrowing of the orifice between the left ventricle and the aorta.

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13

What is a commissurotomy?

A surgical procedure to correct valve leaflets that adhere to one another.

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14

What is annuloplasty?

A surgical technique used to fix valve regurgitation by tightening the valve annulus.

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15

What are the symptoms of aortic regurgitation?

Pounding heartbeat, dyspnea on exertion, and fatigue.

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16

What is the primary purpose of valve replacement surgery?

To treat severe valvular disease when other treatments are not effective.

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17

What are tissue valves made from?

Bioprostheses from animal tissues or homografts from cadaver valves.

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18

What must patients be educated about upon discharge after valve surgery?

Taking anticoagulant medicine and attending follow-up appointments.

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19

What does cardiomyopathy refer to?

A disease of the heart muscle that affects the heart's ability to pump blood.

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20

What is dilated cardiomyopathy characterized by?

Dilation and impaired contraction of one or both ventricles.

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21

What is hypertrophic cardiomyopathy?

A condition where the myocardium thickens leading to potential cardiac issues, often inherited.

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22

What is an important diagnostic test for checking heart health in cardiomyopathy?

Echocardiogram.

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23

What are the symptoms of infective endocarditis?

Fever, new heart murmur, petechiae, and loss of appetite.

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24

What is the recommended treatment for infective endocarditis?

Antibiotics after obtaining blood cultures.

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25

What is myocarditis?

Inflammation of the myocardium often caused by infections.

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26

What is a common symptom of pericarditis?

Chest pain that may worsen with inspiration or when lying down.

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27

What is cardiac tamponade?

A life-threatening condition caused by fluid accumulation in the pericardial space.

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28

What diagnostic techniques are used for assessing pericarditis?

MRI and CT scans.

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29

What is a common symptom observed in patients with rheumatic fever?

New heart murmur and possibly heart failure.

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30

What should patients with aortic stenosis avoid?

Strenuous activities and competitive sports.

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31

What preventive measure should be taken for patients at risk of rheumatic fever?

Early treatment for bacterial infections.

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32

What are the signs of mitral valve regurgitation?

Palpitations, fatigue, and shortness of breath.

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33

What factors increase the risk of development for infective endocarditis?

IV drug use, having a prosthetic valve, or a pacemaker.

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34

What can result from untreated rheumatic heart disease?

Mitral valve stenosis or regurgitation.

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35

What does the term 'orthopnea' refer to?

Difficulty breathing while lying down.

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36

What kind of monitoring is required post valve replacement surgery?

Frequent checks for signs of heart failure and changes in heart sounds.

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37

What is the purpose of a stress test in cardiomyopathy assessment?

To evaluate heart function during physical exertion.

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38

What are the long-term risks associated with mechanical heart valves?

Complications of thromboemboli and the need for long-term anticoagulation.

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39

Which type of heart valve is typically used in younger patients due to its durability?

Mechanical valve.

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40

What can occur if a patient with myocarditis is exposed to NSAIDs?

Potential cardiac injury.

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41

What should patients report if they notice new symptoms after valve surgery?

Worsening or new murmurs.

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42

What will most rheumatic heart disease patients require?

Long-term follow-up care and potentially valve repair or replacement.

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