Diferencia entre revisiones de «Aortic regurgitation»

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==See Also==
==See Also==
[[Valvular Emergencies]]
*[[Valvular Emergencies]]
*[[Heart Murmurs]]


==Source==
==Source==

Revisión del 21:15 18 jul 2011

Background

  • Causes
    • Endocarditis
    • Aortic dissection
    • Blunt chest trauma

Diagnosis

  • Pulmonary edema
  • Wide pulse pressure
  • Dyspnea
  • Hypotension (may progress to cardiogenic shock)
  • Diastolic murmur heard immediately after S2
  • CXR
    • Pulmonary edema w/o cardiac enlargement

Treatment

  • Immediate surgical intervention
  • Reduce afterload
    • Nitroprusside
  • Diuretics and nitrates don't work
  • Don't use beta blockers (block compensatory tachycardia)

See Also

Source

Tintinalli