Aortic stenosis: Difference between revisions
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==See Also== | ==See Also== | ||
[[Valvular Emergencies]] | *[[Valvular Emergencies]] | ||
*[[Heart Murmurs]] | |||
==Source== | ==Source== | ||
Revision as of 21:14, 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
Source
Tintinalli