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Ateneo de Zamboanga University

College of Nursing
Deliverables
Module 5
Prince Mark B. Badillo

Deliverables #2

Draw a diagram showing the pathophysiology of the different types of valvular


defects

MITRAL VALVE PROLAPSE:

One or both mitral valve Ballooning stretches the blood then regurgitates from
leaflets balloons back at leaflet to the point that the the left ventricle back into
atrium during systole valves does not remain close the left atrium
during systole

MITRAL REGURGITATION:

Mitral valve- shorten or tear Each beat, some of the blood


Problems with one or more
is forced back to the left
leaflets Chorae Tendinae elongate,
atrium
shorten or tear

Annulus stretched by heart


enlargement or deformed by
calcifications

Papillary muscles may


Left atrium stretch, rupture stretch or be pulled
hypertrophies and dilates out of positions by changes
in the ventricular wall

Backward flow of the blood


from the ventricles Lungs become congested
diminishes volume of blood adding strain on the right
flowing into the atrium from ventricle
the lungs
MITRAL STENOSIS
Left atrium has a great Left atrium dilates and
Opening of the mitral valve is difficulty in moving blood hypertrophies because of
narrowed into the ventricle because of the increased blood volume.
increased resistance of the
narrowed orifice

AORTIC REGURGITATION

Blood from the aorta returns Left ventricle dilated in an Arteries attempt to
to the left ventricle during attempt to accommodate compensate for the higher
diastole increased volume of blood. pressures by reflex
vasodilation, peripheral
arterioles relax.

AORTIC STENOSIS

left ventricle overcomes


narrowing of the valve The obstruction to left
obstruction by contracting
orifice ventricular wall thickens or
slowly
hypertrophies.
Pathophysiology: Left as a result of Aortic and Mitral Valvular heart disease and the
development of right ventricular failure

Backward Heart Failure Forward Heart Failure

Aortic stenosis limits


Not enough blood flows
forward flow of blood from
through the aorta to meet
the L ventricles Aortic
the bodys needs (Decrease
Regurgitation permits blood
C.O.)
flow back into the L
ventricle from the aorta

Angina pectoris, Postural


Increase blood volume and hypotension, fatigue,
pressure in the L ventricle dizziness
Mitral Stenosis limits the
forward flow of blood into
the left ventricle. Mitral
Left ventricular hyperthropy regurgitation permits blood
and dilation; blood from the flow back into the L atrium
left atrium cannot get into from the L ventricle
the left ventricle

Increase blood volume and pressure in the Left atrium

Left atrium hypertrophy and dilation

Increase blood volume and pressure in the pulmonary veins

Pulmonary Congestion (SOB and Pulmonary edema), increased


pulmonary vascular pressure

Increased work for the right ventricle, right ventricular strain

Right Ventricular Failure

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