Aortic stenosis: Difference between revisions

(Created page with "===Diagnosis=== *Dyspnea, CP, syncope **Once symptoms present mean surival is 2-3yr *Late systolic murmur radiating to carotids *Pulsus parvus et tardus *Narrowed pulse pressure ...")
 
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==See Also==
==See Also==
[[Valvular Emergencies]]
[[Valvular Emergencies]]
==Source==
Tintinalli


[[Category:Cards]]
[[Category:Cards]]

Revision as of 21:12, 18 July 2011

Diagnosis

  • Dyspnea, CP, syncope
    • Once symptoms present mean surival is 2-3yr
  • Late systolic murmur radiating to carotids
  • Pulsus parvus et tardus
  • Narrowed pulse pressure

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

Valvular Emergencies

Source

Tintinalli