Difference between revisions of "Aortic regurgitation"

(Text replacement - "beta blocker" to "β-blocker")
 
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*[[Endocarditis]]
 
*[[Endocarditis]]
 
*[[Aortic dissection]]
 
*[[Aortic dissection]]
**Always suspect in acute aortic regugitation
+
**Always suspect in acute aortic regurgitation
 
*Blunt [[chest trauma]]
 
*Blunt [[chest trauma]]
  
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*[[Pulmonary edema]]
 
*[[Pulmonary edema]]
 
*Wide pulse pressure
 
*Wide pulse pressure
*Dyspnea
+
*[[Dyspnea]]
 
*[[Hypotension]] (may progress to cardiogenic shock)
 
*[[Hypotension]] (may progress to cardiogenic shock)
 
*Decrescendo diastolic [[murmur]] heard immediately after S2
 
*Decrescendo diastolic [[murmur]] heard immediately after S2
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*Reduce afterload
 
*Reduce afterload
 
**[[Nitroprusside]]
 
**[[Nitroprusside]]
*Diuretics and nitrates do not work
+
*Diuretics and nitrates do ''not'' work
*Do not use β-blockers (block compensatory tachycardia)
+
*Do ''not'' use β-blockers (block compensatory tachycardia)
  
 
==Disposition==
 
==Disposition==

Latest revision as of 23:40, 23 September 2019

Background

Causes

Clinical Features

Differential Diagnosis

Valvular Emergencies

Evaluation

Consider the following tests

  • CXR may be helpful
    • May see pulmonary edema with out cardiac enlargement
    • Left ventricular hypertrophy and dilated aorta
  • Transthoracic echo will provide a more definitive diagnosis

Management

  • Immediate surgical intervention
  • Reduce afterload
  • Diuretics and nitrates do not work
  • Do not use β-blockers (block compensatory tachycardia)

Disposition

See Also

References