Diferencia entre revisiones de «Aortic regurgitation»
| Línea 17: | Línea 17: | ||
==Diagnosis== | ==Diagnosis== | ||
*[[CXR]] | ''consider the following tests'' | ||
** | *[[CXR]] may be helpful | ||
**May see pulmonary edema w/o cardiac enlargement | |||
**Left ventricular hypertrophy and dilated aorta | |||
*[[Transthoracic echo|Ultrasound: Cardiac]] will provide a more definitive diagnosis | |||
==Treatment== | ==Treatment== | ||
Revisión del 23:21 14 ago 2015
Background
Causes
- Endocarditis
- Aortic dissection
- Always suspect in acute aortic regugitation
- Blunt chest trauma
Clinical Features
- Pulmonary edema
- Wide pulse pressure
- Dyspnea
- Hypotension (may progress to cardiogenic shock)
- Decrescendo diastolic murmur heard immediately after S2
Differential Diagnosis
Valvular Emergencies
Diagnosis
consider the following tests
- CXR may be helpful
- May see pulmonary edema w/o cardiac enlargement
- Left ventricular hypertrophy and dilated aorta
- Ultrasound: Cardiac will provide a more definitive diagnosis
Treatment
- Immediate surgical intervention
- Reduce afterload
- Diuretics and nitrates don't work
- Don't use beta blockers (block compensatory tachycardia)