Aortic stenosis: Difference between revisions
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== | ==Background== | ||
==Clinical Features== | |||
*Dyspnea, CP, syncope | *Dyspnea, CP, syncope | ||
**Once symptoms present mean surival is 2-3yr | **Once symptoms present mean surival is 2-3yr | ||
| Line 5: | Line 7: | ||
*Pulsus parvus et tardus | *Pulsus parvus et tardus | ||
*Narrowed pulse pressure | *Narrowed pulse pressure | ||
==Diagnosis== | |||
*Echo | |||
==Differential Diagnosis== | |||
{{Valvular emergencies DDX}} | |||
==Treatment== | ==Treatment== | ||
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==See Also== | ==See Also== | ||
*[[Valvular | *[[Valvular emergencies]] | ||
*[[Heart | *[[Heart murmurs]] | ||
==Source== | ==Source== | ||
Revision as of 08:11, 31 January 2015
Background
Clinical Features
- Dyspnea, CP, syncope
- Once symptoms present mean surival is 2-3yr
- Late systolic murmur radiating to carotids
- Pulsus parvus et tardus
- Narrowed pulse pressure
Diagnosis
- Echo
Differential Diagnosis
Valvular Emergencies
Treatment
- Admission
- Avoid BBs, CCBs
- Afterload reduction is controversial
- Consider cards consult
- AS + A-fib = emergency
- Consider emergent cardioversion
- Pulm edema
- Diuretics, intubation if necessary
- Extreme caution with use of nitrates/vasodilators
See Also
Source
Tintinalli