Heart valve tricuspid valve has anterior, posterior, and septal cusps; and the mitral valve has just anterior and posterior cusps. The valves of the human heart can be grouped in two sets: 1- Two Atrioventricular (AV) valves to prevent backflow of blood from the ventricles into the atria a) Tricuspid valve, located between the right atrium and right ventricle. b) Bicuspid or mitral valve, located between the left atrium and left ventricle. 2- Two Semilunar valves to prevent the backflow of blood into the ventricle a) Pulmonary semilunar valve, located at the opening between the right ventricle and the pulmonary trunk. b)
Mitral valve stenosis left atrium correlates with the severity of the mitral stenosis. As the severity of the mitral stenosis increases, the pressure in the left atrium increases, and the mitral valve opens earlier in ventricular diastole. A mid-diastolic rumbling murmur with presystolic accentuation will be heard after the opening snap. The murmur is best heard at the apical region and is not radiated. Since it is a low-pitch sound, it is heard best with the bell of the stethoscope. Its duration increases with worsening disease. Rolling the patient toward left as well as isometric exercise will accentuate the murmur. A thrill might