Pulmonary valve insufficiency

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Pulmonary valve insufficiency

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Pulmonary valve insufficiency
Classification and external resources
ICD-10	I 37.1, Q 22.2
ICD-9	424.3, 746.09
DiseasesDB	11014
eMedicine	med/1964
MeSH	D011665

Pulmonary valve insufficiency (or incompetence, or regurgitation) is a condition where the pulmonary valve is not strong enough to prevent backflow into the right ventricle. If it is secondary to pulmonary hypertension it is referred to as a "Graham Steell" murmur.The three primary pathological mechanisms causing Pulmonary Valve insufficiency are dilatation of the pulmonic valve ring, acquired alteration of pulmonic valve leaflet morphology, or congenital absence or malformation of the valve

External links

Cardiovascular disease: heart disease · Circulatory system pathology (I00–I52, 390–429)

Ischaemic

CD/CHD	CAD · Coronary thrombosis · Coronary vasospasm · Coronary artery aneurysm · Coronary artery dissection · Myocardial Bridge

Active ischemia	Angina pectoris (Prinzmetal's angina, Stable angina) · Acute coronary (Unstable angina, Myocardial infarction / heart attack)

Sequelae	hours (Myocardial stunning, Hibernating myocardium) · days (Myocardial rupture) · weeks (Aneurysm of heart/Ventricular aneurysm, Dressler's syndrome)

Layers

Pericardium

Pericarditis (Acute, Chronic/Constrictive) · Pericardial effusion (Hemopericardium, Cardiac tamponade)

Myocardium

Myocarditis (Chagas disease)

Cardiomyopathy: Dilated (Alcoholic) · Hypertrophic · Restrictive (Loeffler endocarditis, Cardiac amyloidosis, Endocardial fibroelastosis)

Arrhythmogenic right ventricular dysplasia

Endocardium/
valves

Endocarditis	Infective endocarditis (Subacute bacterial endocarditis) · noninfective endocarditis (Nonbacterial thrombotic endocarditis, Libman-Sacks endocarditis)

Valves	mitral (regurgitation, prolapse, stenosis) · aortic (stenosis, insufficiency) · tricuspid (stenosis, insufficiency) · pulmonary (stenosis, insufficiency)

Conduction/
arrhythmia

Bradycardia

Sinus bradycardia · Sick sinus syndrome

Heart block: Sinoatrial · AV (1°, 2°, 3°) · Intraventricular (Bundle branch/Right/Left, Left anterior fascicular/Left posterior fascicular, Bifascicular/Trifascicular) · Adams–Stokes syndrome

Tachycardia
(paroxysmal and sinus)

Supraventricular	Atrial (Multifocal) · Junctional (AV nodal reentrant, Junctional ectopic)

Ventricular	Torsades de pointes · Catecholaminergic polymorphic · Accelerated idioventricular rhythm

Premature contraction

Atrial · Ventricular

Pre-excitation syndrome

Wolff-Parkinson-White · Lown-Ganong-Levine

Flutter/fibrillation

Atrial flutter · Ventricular flutter · Atrial fibrillation (Familial) · Ventricular fibrillation

Pacemaker

Wandering pacemaker · Ectopic pacemaker/Ectopic beat · Parasystole · Multifocal atrial tachycardia · Pacemaker syndrome

Long QT syndrome

Romano-Ward syndrome · Andersen-Tawil syndrome · Jervell and Lange-Nielsen syndrome

Cardiac arrest

Sudden cardiac death · Asystole · Pulseless electrical activity · Sinoatrial arrest

Other/ungrouped

hexaxial reference system (Right axis deviation, Left axis deviation) · QT (Short QT syndrome) · T (T wave alternans) · ST (Osborn wave, ST elevation, ST depression)

Cardiomegaly

Ventricular hypertrophy (Left, Right/Cor pulmonale) · Atrial enlargement (Left, Right)

Other

Cardiac fibrosis · Heart failure (Diastolic heart failure, Cardiac asthma) · Rheumatic fever

M: HRT

anat/phys/devp

noco/cong/tumr, sysi/epon, injr

proc, drug (C1A/1B/1C/1D), blte

Congenital heart defects (Q20–Q24, 745–746)

Cardiac shunt/
heart septal defect

Aortopulmonary septal defect	R→L: Double outlet right ventricle (Taussig–Bing syndrome) · Transposition of the great vessels (dextro, levo) · Persistent truncus arteriosus Aortopulmonary window

Atrial septal defect	L→R: Sinus venosus atrial septal defect · Lutembacher's syndrome

Ventricular septal defect	L→R and R→L: Eisenmenger's syndrome R→L, with other conditions: Tetralogy of Fallot

Atrioventricular septal defect	L→R: Ostium primum

Valvular heart disease/
heart chambers

Right	pulmonary valves (stenosis, insufficiency) · tricuspid valves (stenosis, atresia, Ebstein's anomaly) · Hypoplastic right heart syndrome (Uhl anomaly)

Left	aortic valves (stenosis, insufficiency, bicuspid) · mitral valves (stenosis, regurgitation) · Hypoplastic left heart syndrome

Other

Dextrocardia · Levocardia · Cor triatriatum · Crisscross heart · Brugada syndrome · Coronary artery anomaly · Anomalous aortic origin of a coronary artery · Ventricular inversion

M: HRT

anat/phys/devp

noco/cong/tumr, sysi/epon, injr

proc, drug (C1A/1B/1C/1D), blte

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