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Predisposing Factors:

Age of 72

Wear and tear of valve over many years


disrupts valve and endothelium and
underlying matrix

Fibrosis and calcification of aortic valve


Pathophysiology Irregular flow through valve during systolic
contraction is audible on auscultation
Risk Factors
Mechanism Impedes blood flow through the aortic valve
Heart has decreased cardiac output Decreased perfusion of
Signs and Symptoms when doing activities brain

LV contracts harder to pump blood across the


stenotic valve
Faintness on exertion
dyspnea
Left atrium dilates and hypertrophies form as
a result of pressure overload Forceful contraction of LV overtime will cause
LV myocardial hypertrophy

Cardiac output becomes more reliant on


atrial filling of LV Stiff and hypertrophied LV with LV pressure will
both make the LV harder to fill (diastolic
dysfunction)
Bibasilar inspiratory
Atrial fibrillation develops causing severe crackles
decrease in cardiac output
Pressure overload in the LV causing The passing through of fluids
pulmonary congestion through alveolar walls into air sacs

Dyspnea

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