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Related Concept Videos

Mitral Valve Prolapse III: Nursing Management01:19

Mitral Valve Prolapse III: Nursing Management

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The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
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Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

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Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
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Aortic Regurgitation I: Introduction01:15

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IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
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Mitral Valve Prolapse I: Introduction01:27

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IntroductionThe mitral valve, one of the heart's four valves, regulates blood flow. These valves have flaps that open and close to direct blood properly through the heart and body. During each heartbeat, the flaps open for blood to pass through and seal shut to prevent backflow. Specifically, the mitral valve opens to allow blood flow from the heart's upper left chamber to the lower left chamber. It then closes securely as the lower left chamber contracts to pump blood to the body, preventing...
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Heart Valves01:16

Heart Valves

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The human heart is a complex organ with an intricate system of valves that regulate blood flow. There are two main types of valves: atrioventricular (AV) valves and semilunar valves.
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Mitral Valve Prolapse II: Assessment and Management01:22

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IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular...
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Fetal Echocardiography and Pulsed-wave Doppler Ultrasound in a Rabbit Model of Intrauterine Growth Restriction
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Bicuspid aortic valve in pregnancy.

Shi-Min Yuan1

  • 1Department of Cardiothoracic Surgery, The First Hospital of Putian, Teaching Hospital, Fujian Medical University, Putian, Fujian Province, People's Republic of China.

Taiwanese Journal of Obstetrics & Gynecology
|December 17, 2014
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Summary

Pregnancy with bicuspid aortic valves (BAVs) can cause critical cardiovascular events. Aortic valve stenosis may worsen during pregnancy, potentially requiring surgical intervention for both mother and fetus.

Keywords:
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Area of Science:

  • Cardiology
  • Maternal-Fetal Medicine
  • Cardiovascular Surgery

Background:

  • Bicuspid aortic valves (BAVs) in pregnancy are rarely reported.
  • BAVs pose potential critical risks to pregnant individuals and fetuses.
  • Understanding clinical outcomes is crucial for managing BAV during gestation.

Purpose of the Study:

  • To report on the clinical complications of bicuspid aortic valves (BAVs) in pregnant patients.
  • To analyze maternal and fetal outcomes associated with BAV in pregnancy.
  • To describe the hemodynamic changes of BAV during pregnancy.

Main Methods:

  • Literature review of MEDLINE and Google searches from 1980-2012.
  • Inclusion of studies focusing on bicuspid aortic valves and pregnancy.
  • Analysis of reported clinical complications and outcomes.

Main Results:

  • BAV in pregnancy is associated with aortic dissection, valve disorders, and endocarditis.
  • Maternal and fetal mortality rates did not significantly differ between syndromic and nonsyndromic BAV patients.
  • Aortic valve pressure gradients increased during pregnancy, decreasing postpartum; valve area decreased in the third trimester and postpartum.

Conclusions:

  • Syndromic and nonsyndromic BAVs carry similar risks for maternal and fetal mortality.
  • Aortic valve stenosis can progress during pregnancy, improving after delivery.
  • Surgical intervention may be necessary for BAV complications during pregnancy.