Aortic stenosis
Revision as of 21:08, 18 July 2011 by Rossdonaldson1 (talk | contribs) (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 ...")
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