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| Symptomatic
| | ==Differential Diagnosis== |
| #Mitral Regurg
| | {{Valvular emergencies DDX}} |
| ##Rx: reduce afterload (e.g. nitroprusside, NTG)
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| ##If 2nd to AMI, Rx: NTG
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| #Mitral Stenosis
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| ##Rx: rate control if tachy
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| ##Associated with hemoptysis
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| ##Transfuse + surg
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| #Aortic Regurg
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| ##Rx: reduce afterload (e.g. nitroprusside, NTG)
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| #Aortic Stenosis
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| ##Rx: rate control if tachy
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| ##Do not reduce afterload!! (use nitrates very cautiously)
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| ##Admit if symptomatic (e.g. syncope)
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| ##+ A.fib = emergency, consider emergent cardioversion
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| Consider emerg surg for all if primary cause of sx or refractory to Rx
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| ==See Also== | | ==See Also== |
| Cards: Heart Murmur Sounds
| | *[[Heart Murmurs]] |
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| Cards: Heart Murmur Manuvers
| | ==References== |
| | <references/> |
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| ==Source==
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| 10/07 DONALDSON (adapted from Tintinalli, emedicine)
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| [[Category:Cards]] | | [[Category:Cardiology]] |
