{"id":9748,"date":"2014-08-14T00:01:14","date_gmt":"2014-08-14T00:01:14","guid":{"rendered":"http:\/\/cardiophile.org\/?p=9748"},"modified":"2022-01-04T22:52:50","modified_gmt":"2022-01-04T17:22:50","slug":"symptoms-pointing-to-specific-valvular-lesions","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/symptoms-pointing-to-specific-valvular-lesions\/","title":{"rendered":"Symptoms pointing to specific valvular lesions"},"content":{"rendered":"<p><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/CZ6aqKpkaFI\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h2><span style=\"color: #008000;\">Symptoms pointing to specific valvular lesions<\/span><\/h2>\n<p><span style=\"color: #0000ff;\">Symptoms pointing to specific valvular lesions &#8211; certain symptoms could point to certain specific valvular lesions more than the others:<\/span><\/p>\n<p><span style=\"color: #ff00ff;\"><strong>Paroxysmal nocturnal dyspnea<\/strong><\/span> (PND) is more likely a feature of <span style=\"color: #ff00ff;\"><strong>severe mitral stenosis<\/strong><\/span>. PND is often an early feature and may disappear later as protective mechanisms develop in the pulmonary vasculature. It could be a late feature in other left sided valvular lesions.<\/p>\n<p><span style=\"color: #008000;\"><strong>Exertional palpitation<\/strong> <\/span>is more likely to be due to <span style=\"color: #008000;\"><strong>regurgitant valvular lesions<\/strong><\/span> like mitral and aortic regurgitation. This is because of the hyperdynamic motion of the volume overloaded left ventricle being felt.<\/p>\n<p><span style=\"color: #ff00ff;\"><strong>Episodic palpitation at rest<\/strong><\/span> can occur due arrhythmia, more often atrial fibrillation, in<span style=\"color: #ff00ff;\"><strong> mitral stenosis<\/strong><\/span>. Onset of atrial fibrillation is an important cause of precipitation of heart failure in those with valvular lesions. Atrial fibrillation also enhances the risk of cardioembolic stroke.<\/p>\n<p><span style=\"color: #0000ff;\"><strong>Effort angina<\/strong><\/span> is a feature of <span style=\"color: #0000ff;\"><strong>aortic stenosis<\/strong><\/span>. In severe aortic stenosis, left ventricular hypertrophy causes a mismatch between the coronary arterial blood flow and oxygen demand of the left ventricle, leading to effort angina. Median survival in aortic stenosis with angina is considered to be five years without definitive treatment.<\/p>\n<p><span style=\"color: #0000ff;\"><strong>Syncope<\/strong> <\/span>is an important symptom of <span style=\"color: #0000ff;\"><strong>severe aortic stenosis<\/strong><\/span>. In severe aortic stenosis, the cardiac output cannot increase much during exercise. This leads to fall in blood pressure when there is peripheral vasodilation with exercise, leading to syncope. Syncope can also occur, though less commonly with other obstructive valvular lesions and severe pulmonary hypertension, which act in a similar way by restricting cardiac output.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Symptoms pointing to specific valvular lesions: PND in MS, angina in AS, exertional palpitation in MR\/AR, syncope in AS, episodic palpitation in MS with AF<\/p>\n","protected":false},"author":1,"featured_media":31577,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[9],"tags":[],"class_list":["post-9748","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-general"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Symptoms pointing to specific valvular lesions like syncope for AS<\/title>\n<meta name=\"description\" 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