A ring that attaches the valve to the heart muscle
Stenosis
Orifice is narrowed
Prolapse
Leaflets reflect backwards
Insufficiency
Leaflets do not come together
Regurgitation
Blood flows backward
What is the most common stenosis of valves
Mitral and aortic valves
Pulmonic stenosis is almost always
Congenital
What is stenosis typically caused by
Calcification in old age (degenerative)
What heart disease can cause stenosis of the heart valves
Rheumatic heart disease
What are the signs and symptoms of valve stenosis
Systolic murmur (aortic stenosis)
Weakened pulse (aortic stenosis)
Left ventricular hypertrophy (aortic stenosis)
Atrial Fibrilation (mitral stenosis)
How does right atrial stenosis cause atrial fibrilation
The right atrial chamber dialates causing an improper electrical signal conduction
What are the two major causes of mitral valve stenosis
Degenerative
Rheumatic heart disease
What causes valve prolapse
Typically a connective tissue disorder like marfan's Ehler-Danlos (mitral valve)
Can also be caused by chordae tendinae rupture or papillary muscle rupture (myocardial infarct)
Myxomatous degeneration
Weakening of connective tissue, common cause of mitral valve prolapse
What are the signs and symptoms of Prolapse/Insufficiency/regurgitation
Mid systolic click with late systolic murmur
Click- valve flapping backward
Murmur- blood flowing backward
What is the down side to mechanical heart valves
They are prone to infection and blood clots
What are the two categories of congenital heart disease
Acyanotic
Cyanotic
Congenital heart disease
Malformation of normal cardiac development
What is the most common congenital heart defect
VSD
Holysystolic
Murmur starts in systole and continues into diastole
Eisenmenger syndrome
With a hole between the the left and right ventricles, the lungs are prone to high pressure from the left ventricle and can cause pulmonary hypertension. Only happens when surgery isn't done early in life
What change takes place in the flow of blood in Eisenmenger syndrome
It turns from a left to right flow between septums to a right to left flow
What are the four mechanical issues in tetralogy of fallot
Pulmonic atresia/stenosis
Right ventricular hypertrophy
Over-riding aorta
Ventricular septal defect
Tetralogy of Fallot is the most common
Cyanotic congenital heart defect
What determines the severity of tetralogy of fallot
The degree of pulmonary stenosis
What is the most common Acyanotic heart defect
Ventricular septal defect
What percent of down syndrome children have heart abnormalities