Valvular emergencies: Difference between revisions
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==See Also== | ==See Also== | ||
[[Heart Murmurs]] | |||
==Source== | ==Source== |
Revision as of 19:53, 15 May 2011
Symptomatic
- Mitral Regurg
- 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
Source
10/07 DONALDSON (adapted from Tintinalli, emedicine)