Bicuspid Valve

The valve that separates the left atria and ventricle. It is also called the mitral valve (2 leaf).

Valves act as gates ensuring unidirectional blood flow. They are located between the atria and ventricles as well as between the ventricles and the major arteries. The atrioventricular (AV) valves lie between the atria and the ventricles of the right and left heart. The ventricles eject blood through semilunar valves composed of 3 cusps.

The atria and ventricles are separated by the tricuspid valve (3 leaf) in the right heart and the bicuspid or mitral valve (2 leaf) in the left heart. Blood ejected from the ventricles pass through the semilunar valves (see Figure 1.3), the pulmonic valve into the pulmonary arteries and the aortic valve into the aorta. Pressure within a ventricle or artery catches the cusps of a valve – like a parachute – closing the valve and preventing back flow.

The valves are composed of similar components: leaflets; annulus – a fibrous ring that encircles the valve; and chordae tendaneae – fibrous ligaments that connect to the papillary muscles. The papillary muscles flex when the ventricles contract to stabilize the AV valves. Note that an MI may weaken papillary muscles or rupture the chordae tendaneae, resulting in a heart murmur.

While heart murmurs may suggest valvular pathology, heart sounds also suggest normal function. The closing of the AV valves produce the classic S1 sound, heard at the beginning of ventricle systole (‘lub’ of lub-dub). Subsequently, as the ventricles begin to relax (diastole), the semilunar valves close producing the S2 heart sound (‘dub’).

Other causes of heart murmurs include age related changes to the valves such as the formation of calcium deposits and the stenosis of the valve leaflets or cusps. An impaired mitral valve, for example, could result in reduced blood volume being ejected from the left ventricle due to regurgitation of blood back into the atrium. This can eventually lead to left atrial hypertrophy and pulmonary hypertension.

Figure 1.4 The Heart’s Valves (superior view)

Figure 1.4 depicts the valves of the heart as viewed from above the heart.

The bicuspid valve is also known as the mitral valve.

1. Six Second ECG Guidebook (2012), T Barill, p. 13

Our new 12 Lead ECG SIM Deck is active!

We're planning a scheduled maintenance period.

Our website will be unavailable on Friday, May 31, 2024 starting at 12:00pm (PDT). We anticipate this will take about 1 hour.
Thank you for your understanding.

The SkillStat Team

×
  Six Second ECG Intensive Six Second ECG Mastery 12 Lead ECG & ACS 12 Lead Advanced
Prerequisite

None

None

Any Six Second ECG Course

12 Lead ECG & ACS

Time Frame

8 hours (1-day Course or 2 evenings)

20 hours 3-day Course

8 hours 1-day Course

8 hours 1-day Course

Tuition

$275

$675

$275

$275

Completion Card
Exam and Certification
SkillStat 2U-able
Reference materials included
Dynamic ECG rhythm interpretation
Static ECG rhythm interpretation
Clinical Impact Mapping
Acute Coronary Syndromes Overview
Acute Coronary Syndromes In-Depth
ST Segment & T Wave Differential
Identify Bundle Branch Blocks
15 | 18 Lead View Mapping
Electrical Axis
R Wave Progression
Left Bundle Branch Blocks with ACS
Atypical Findings
Acute Non-Ischemic Disease Conditions
Special Cases

•-included;     ○-reviewed
×