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Cardiology: Valvular Heart Disease - Coggle Diagram
Cardiology: Valvular Heart Disease
AS
calcification
congenital bicuspid valve
narrow pulse pressure
radiates to carotids
ejection systolic murmur, crescendo-decrescendo
Open replacement vs TAVI vs balloon valvulopasty
surgery when severe AS
Vmax > 4m/s
gradient > 40mmHg
area 1cm or less
AR
de Mussets sign
corrigans waterhammer + collapsing pulse (wide pulse pressure)
blowing diastolic murmur
severe AR: Austin flint murmur, rumbling diastolic murmur best heard at the apex of the heart
MS
a/w rheum infection
best heard in left lat position
mitral facies
many patients also have a fib - must anticoagulate on warfarin, DOACs not used
MR
can be secondary MR: due to left ventricular dilatation
pansys murmur @ apex
radiates to axilla
TS
not txed surgically
TR
PS + PR
usually seen in paeds (tetralogy of Fallot)
other sys murmurs
HOCM
VSD
PDA (continuous machine like murmur)
NB prophylactic abx when having dental work with a prosthetic valve