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Clinical features of Valvular Heart disease

Type Effects Symptoms
Aortic Stenosis

(Tight aortic valve)

  • Enlarged left ventricle,
  • Reduced coronary blood flow,
  • Heart failure.
  • Heart failure weakness and breathlessness,
  • Chest pain, fainting and sudden death – Sudden death on exertion.
Mitral Stenosis

(Tight mitral valve)

  • Enlarged left atrium,
  • Heart failure,
  • Arial Fibrillation.
  • Left heart failure,
  • Short of breath,
  • Weakness,
  • Breathlessness,
  • Palpitation from atrial fibrillation. Necessary to take warfarin.
Aortic Regurgitation

(Leaking aortic valve)

  • Due to increased work of the heart, enlarged, thickened left ventricle,
  • Heart failure.
  • Fluid in lungs,
  • Shortness of breath on exertion,
  • Fatigue, shortness of breath on lying down,
  • “Paroxysmal Nocturnal Dyspnoea”.
Mitral Regurgitation

(Leaking mitral valve)

  • Increased muscle thickness left ventricle
  • Congestion in lungs (heart failure)
  • Atrial fibrillation
  • Palpitation from atrial fibrillation
  • Heart failure
  • Shortness of breath on exertion
Pulmonary Stenosis

(Tight pulmonary valve)

  • Reduced blood flow to lungs for oxygenation
Usually congenital
  • Low heart output,
  • Breathlessness on exertion,
  • Syncope.
Pulmonary regurgitation

(Leaking pulmonary valve)

Usually congenital
  • Heart failure.
Tricuspid Stenosis

(Tight Tricuspid Valve)

  • Increased resistance of blood flow from right atrium to right ventricle.
  • Abdominal discomfort due to enlarged liver,
  • Oedema of legs,
  • Right heart failure.
Tricuspid Regurgitation

(Leaking Tricuspid valve)

  • Often associated with severe long - standing lung disorder (such as emphysema),
  • Enlarged right atrium.
  • Atrial fibrillation,
  • Enlarged liver,
  • Heart failure – fluid in legs (oedema).

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