VHD’s

Rheumatic
Mitral Stenosis Aortic Stenosis
Fever

Blood
Blood
Flow
Flow
From
From
LA
LV
LV -
Aorta
G.A.B.H.S.
Causes: <70y >70y
- Rheumatic - Bicuspid - Dystrophic
Fever AoV Calcification

Mitral Regurgitation Aortic Regurgitation

Blood
Flow
Mitral Blood
From
Valve Flow
LV
> From
Aortic Aorta
LA
Valve
LV
Dilated LV MV Damage
Rheumatic Dilated AoV Damage
Causes: Causes:
Heart Disease Aorta Causes: Causes:
- Systolic HF
- I. Endocarditis - Ascending - I. Endocarditis
(HFrEF)
Aortic
- Mitral Valve Aneurysm - Proximal Aortic
- Dilated
Prolapse Dissection
CM
- Aortic
Inflammation
 VHD’s
Mitral Stenosis Rheumatic Fever Aortic Stenosis
LAP
LVOTO
PCWP PCWP
CO

Systemic
+
Perfusion Pulmonary
Pulmonary
Edema
Edema GABHS LVH
- D yspnea
Dyspnea/PND/Orthopnea
HFpEF

LA Dilation

Valvular
Atrial Fibrillation
Pulsus S yncope A ngina
Thromboemboli Joints Parvus
Et Tardus

Aortic Regurgitation
CO
MV>AV

CVA AMI PCWP

ALI Acute
Nodules AR

Mitral Regurgitation Erythema BP Pulmonary

Marginatum Backflow Edema
LAP PCWP Shock
Dyspnea
SV Preload/SV Wide
Sydenham’s Pulse
CO Chorea Bounding Pressure
Pulses (Diastole)
+ Pulmonary
BP (Systole) “Water Hammer”
Edema
(Shock) Pulse
Dyspnea