Diferencia entre revisiones de «Aortic stenosis»
m (Rossdonaldson1 moved page Aortic Stenosis to Aortic stenosis) |
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| Línea 4: | Línea 4: | ||
*Dyspnea, CP, syncope | *Dyspnea, CP, syncope | ||
**Once symptoms present mean surival is 2-3yr | **Once symptoms present mean surival is 2-3yr | ||
* | *ejection systolic murmur radiating to carotids | ||
*Pulsus parvus et tardus | *Pulsus parvus et tardus, slow to rise and late peaking | ||
*Narrowed pulse pressure | *Narrowed pulse pressure | ||
*Soft 2nd heart sound | |||
==Diagnosis== | ==Diagnosis== | ||
Revisión del 01:15 6 feb 2015
Background
Clinical Features
- Dyspnea, CP, syncope
- Once symptoms present mean surival is 2-3yr
- ejection systolic murmur radiating to carotids
- Pulsus parvus et tardus, slow to rise and late peaking
- Narrowed pulse pressure
- Soft 2nd heart sound
Diagnosis
- Echo
Differential Diagnosis
Valvular Emergencies
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