Aortic stenosis: Difference between revisions
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==Diagnosis== | |||
*Dyspnea, CP, syncope | *Dyspnea, CP, syncope | ||
**Once symptoms present mean surival is 2-3yr | **Once symptoms present mean surival is 2-3yr | ||
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*Narrowed pulse pressure | *Narrowed pulse pressure | ||
==Treatment== | |||
*Admission | *Admission | ||
*Avoid BBs, CCBs | *Avoid BBs, CCBs | ||
Revision as of 01:39, 3 April 2014
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