Mitral Valve Prolapse Pathophysiology
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Questions and Answers

What is the role of nurses in the care of patients with structural, infectious, and inflammatory cardiac conditions?

  • Monitoring blood pressure
  • Assisting with total artificial heart implantation
  • Administering medication therapy (correct)
  • Performing valve replacement surgeries
  • Which valves separate the atria from the ventricles in the heart?

  • Mitral valve
  • Aortic valve
  • Tricuspid valve (correct)
  • Pulmonary valve
  • What anchors valve leaflets to papillary muscles of the ventricles?

  • Atrioventricular nodes
  • Sinoatrial node
  • Bundle of His
  • Chordae tendineae (correct)
  • What can alter cardiac output in the heart?

    <p>Infectious diseases</p> Signup and view all the answers

    What do noninvasive treatments for heart disorders often consist of?

    <p>Medication therapy</p> Signup and view all the answers

    What is the result of the increased resistance through the narrowed mitral valve orifice?

    <p>Decreased blood flow into the left ventricle</p> Signup and view all the answers

    What is the consequence of left atrial hypertrophy and dilation over time?

    <p>Reduced ventricular filling</p> Signup and view all the answers

    What happens when a stenotic mitral valve fails to protect pulmonary veins from backward flow of blood?

    <p>Congestion of the pulmonary circulation</p> Signup and view all the answers

    How does an increased heart rate affect cardiac output?

    <p>Decreases cardiac output</p> Signup and view all the answers

    What happens to the right ventricle over time as a result of contracting against high pulmonary arterial pressure?

    <p>It enlarges and eventually fails</p> Signup and view all the answers

    What is the condition called when valves do not close completely?

    <p>Regurgitation</p> Signup and view all the answers

    Which valve disorder may involve stretching of the valve leaflet into the atrium during systole?

    <p>Mitral valve prolapse</p> Signup and view all the answers

    What is the term for a condition where valves do not open completely?

    <p>Stenosis</p> Signup and view all the answers

    Which valve disorders cause more symptoms, require treatment, and lead to more complications?

    <p>Mitral and aortic valve disorders</p> Signup and view all the answers

    In what percentage of the general population does mitral valve prolapse occur?

    <p>2.5%</p> Signup and view all the answers

    What compensatory mechanism does the left ventricle use to overcome the obstruction caused by aortic stenosis?

    <p>Contracting more slowly and more forcibly</p> Signup and view all the answers

    What is the first symptom that often appears in patients with aortic stenosis?

    <p>Dyspnea on exertion (DOE)</p> Signup and view all the answers

    What may occur over time in patients with aortic stenosis, causing orthopnea, PND, and pulmonary edema?

    <p>Left ventricular failure</p> Signup and view all the answers

    What causes angina pectoris in patients with aortic stenosis?

    <p>Increased time in diastole</p> Signup and view all the answers

    What blood pressure characteristic is usually observed in patients with aortic stenosis?

    <p>Low pulse pressure</p> Signup and view all the answers

    During which phase does a portion of one or both mitral valve leaflets balloon back into the atrium?

    <p>Systole</p> Signup and view all the answers

    What can happen if the leaflet stretches to the point that the valve does not remain closed during systole?

    <p>Mitral regurgitation</p> Signup and view all the answers

    What is the result of mitral regurgitation caused by mitral valve prolapse?

    <p>Left atrial enlargement</p> Signup and view all the answers

    What may elongate or rupture in individuals with mitral valve prolapse?

    <p>Chordae tendineae and papillary muscles</p> Signup and view all the answers

    What is the potential consequence of mitral valve prolapse?

    <p>Heart failure</p> Signup and view all the answers

    What can result in acute mitral regurgitation according to the text?

    <p>Infective endocarditis causing leaflet scarring</p> Signup and view all the answers

    Which part of the mitral valve may be stretched by heart enlargement, resulting in functional mitral regurgitation?

    <p>Annulus</p> Signup and view all the answers

    What changes in the left ventricle can result in mitral regurgitation?

    <p>All of the above</p> Signup and view all the answers

    What is referred to as ischemic mitral regurgitation according to the text?

    <p>Papillary muscle contractility impairment</p> Signup and view all the answers

    What condition may cause retraction of leaflets or chordae tendineae according to the text?

    <p>Infective endocarditis</p> Signup and view all the answers

    What is the recommended course of action for patients with severe mitral stenosis?

    <p>Undergo surgical intervention such as valvuloplasty</p> Signup and view all the answers

    What is the main cause of aortic regurgitation?

    <p>Congenital valve abnormality or inflammation</p> Signup and view all the answers

    How does the left ventricle respond to aortic regurgitation over time?

    <p>It dilates to accommodate increased blood volume</p> Signup and view all the answers

    What is the effect of aortic regurgitation on systolic blood pressure?

    <p>It increases due to hypertrophy of the left ventricle</p> Signup and view all the answers

    Which surgical intervention is typically performed for severe mitral stenosis?

    <p>Commissurotomy to open the fused commissure of the valve</p> Signup and view all the answers

    What increases the heart rate in patients with severe mitral stenosis?

    <p>Competitive sports</p> Signup and view all the answers

    What happens to the left ventricle during diastole in aortic regurgitation?

    <p>Blood flows back into the left ventricle from the aorta</p> Signup and view all the answers

    What can cause chronic or acute aortic regurgitation?

    <p>Rheumatic endocarditis or syphilis infections</p> Signup and view all the answers

    What is the site where the valve leaflets meet in mitral stenosis?

    <p>Fused commissure of the valve</p> Signup and view all the answers

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