Difference between revisions of "Valvular emergencies"

(See Also)
(See Also)
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==See Also==
 
==See Also==
Cards: Heart Murmur Sounds
+
[[Heart Murmurs]]
 
 
Cards: Heart Murmur Maneuvers
 
  
 
==Source==
 
==Source==

Revision as of 19:53, 15 May 2011

Symptomatic

  1. Mitral Regurg
    1. Rx: reduce afterload (e.g. nitroprusside, NTG)
    2. If 2nd to AMI, Rx: NTG
  2. Mitral Stenosis
    1. Rx: rate control if tachy
    2. Associated with hemoptysis
    3. Transfuse + surg
  3. Aortic Regurg
    1. Rx: reduce afterload (e.g. nitroprusside, NTG)
  4. Aortic Stenosis
    1. Rx: rate control if tachy
    2. Do not reduce afterload!! (use nitrates very cautiously)
    3. Admit if symptomatic (e.g. syncope)
    4. + A.fib = emergency, consider emergent cardioversion

Consider emerg surg for all if primary cause of sx or refractory to Rx

See Also

Heart Murmurs

Source

10/07 DONALDSON (adapted from Tintinalli, emedicine)