Valvular emergencies

Revision as of 18:13, 12 March 2011 by Rossdonaldson1 (talk | contribs) (See Also)

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

Cards: Heart Murmur Sounds

Cards: Heart Murmur Maneuvers

Source

10/07 DONALDSON (adapted from Tintinalli, emedicine)