Difference between revisions of "Valvular emergencies"

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

Latest revision as of 04:52, 28 June 2016