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When the ventricles begin to contract, pressure within the ventricles rises and blood flows toward the area of lowest pressure, which is initially in the atria. This backflow causes the cusps of the tricuspid and mitral (bicuspid) valves to close. These valves are tied down to the papillary muscles by chordae tendineae. During the relaxation phase of the cardiac cycle, the papillary muscles are also relaxed and the tension on the chordae tendineae is slight (see [link] b ). However, as the myocardium of the ventricle contracts, so do the papillary muscles. This creates tension on the chordae tendineae (see [link] b ), helping to hold the cusps of the atrioventricular valves in place and preventing them from being blown back into the atria.

The aortic and pulmonary semilunar valves lack the chordae tendineae and papillary muscles associated with the atrioventricular valves. Instead, they consist of pocket-like folds of endocardium reinforced with additional connective tissue. When the ventricles relax and the change in pressure forces the blood toward the ventricles, the blood presses against these cusps and seals the openings.

Visit this site to observe an echocardiogram of actual heart valves opening and closing. Although much of the heart has been “removed” from this gif loop so the chordae tendineae are not visible, why is their presence more critical for the atrioventricular valves (tricuspid and mitral) than the semilunar (aortic and pulmonary) valves?

Disorders of the…

Heart valves

When heart valves do not function properly, they are often described as incompetent and result in valvular heart disease, which can range from benign to lethal. Some of these conditions are congenital, that is, the individual was born with the defect, whereas others may be attributed to disease processes or trauma. Some malfunctions are treated with medications, others require surgery, and still others may be mild enough that the condition is merely monitored since treatment might trigger more serious consequences.

Valvular disorders are often caused by carditis, or inflammation of the heart. One common trigger for this inflammation is rheumatic fever, or scarlet fever, an autoimmune response to the presence of a bacterium, Streptococcus pyogenes , normally a disease of childhood.

While any of the heart valves may be involved in valve disorders, mitral regurgitation is the most common, detected in approximately 2 percent of the population, and the pulmonary semilunar valve is the least frequently involved. When a valve malfunctions, the flow of blood to a region will often be disrupted. The resulting inadequate flow of blood to this region will be described in general terms as an insufficiency. The specific type of insufficiency is named for the valve involved: aortic insufficiency, mitral insufficiency, tricuspid insufficiency, or pulmonary insufficiency.

If one of the cusps of the valve is forced backward by the force of the blood, the condition is referred to as a prolapsed valve. Prolapse may occur if the chordae tendineae are damaged or broken, causing the closure mechanism to fail. The failure of the valve to close properly disrupts the normal one-way flow of blood and results in regurgitation, when the blood flows backward from its normal path. Using a stethoscope, the disruption to the normal flow of blood produces a heart murmur.

Stenosis is a condition in which the heart valves become rigid and may calcify over time. The loss of flexibility of the valve interferes with normal function and may cause the heart to work harder to propel blood through the valve, which eventually weakens the heart. Aortic stenosis affects approximately 2 percent of the population over 65 years of age, and the percentage increases to approximately 4 percent in individuals over 85 years. Occasionally, one or more of the chordae tendineae will tear or the papillary muscle itself may die as a component of a myocardial infarction (heart attack). In this case, the patient’s condition will deteriorate dramatically and rapidly, and immediate surgical intervention may be required.

Auscultation, or listening to a patient’s heart sounds, is one of the most useful diagnostic tools, since it is proven, safe, and inexpensive. The term auscultation is derived from the Latin for “to listen,” and the technique has been used for diagnostic purposes as far back as the ancient Egyptians. Valve and septal disorders will trigger abnormal heart sounds. If a valvular disorder is detected or suspected, a test called an echocardiogram, or simply an “echo,” may be ordered. Echocardiograms are sonograms of the heart and can help in the diagnosis of valve disorders as well as a wide variety of heart pathologies.

Questions & Answers

1-chemical level 2-cellular level 3-organ system level 4-tissue level 5-organism level 6-molecules
Dennis Reply
when cell are dead in any part of the body what happen to that place
Dennis Reply
describe the Krebs cycle
Lian Reply
the sequence of reactions by which most living cells generate energy during the process of aerobic respiration. It takes place in the mitochondria, consuming oxygen, producing carbon dioxide and water as waste products, and converting ADP to energy
shea
thanks
Lian
Andy is 1.0 m tall and weighs 45kg Bmi= weight / Height (squared) what's his bmi? Is it high or low?
zafirah Reply
where did our atmosphere came from
Thomas Reply
Our atmospher came from outer space.
R0se
Do mitotic and mitosis mean same?
Abhishek Reply
yes
momo
what are some mechanisms for regulating electrolytes and fluid in the body?
Anita
how do it move
Jaheim Reply
what is biology fall under
Twayne Reply
what is life?
Suliman Reply
define unit membran model?
Suliman
define unit membran model?
Suliman
different between human being and animals
Habeeb Reply
what is fat soluble drugs
Acho Reply
drugs that dissolve mostly in fatty tissues
shea
what is cell
Sesay Reply
cell is the basic unit of life.
ibtisam
how many double bond present in arachidonic acid?
Rekha
what is the source of the homologous chromosomes and the importance of its event?
Tani Reply
what is biology
Habeeb
bio mean life. logy mean study. so study of life. life is the diffrent between living and non living such as digestion ,respiration, reproduction,movment etc
Suliman
chemical, cellular, tissue, organ, organ system, organisms
Saleema Reply
chemical, tissue, cellular, organ, organism, organ system
Saleema
yes, both parts are apart of the reproductive and endocrine system because they function in both
Saleema
du antigen
gambo
what is antigenic
gambo
how many bones are there in a human
Tih Reply
206
Shivani
206 when they fused together
gambo
206 bones
Kate
206bones
R0se
206
Mahmmad
define ornithology
Aniowo
ornithology is the study of birds in every aspect.
Hemamalene

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Source:  OpenStax, Human biology. OpenStax CNX. Dec 01, 2015 Download for free at http://legacy.cnx.org/content/col11903/1.3
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