Diferencia entre revisiones de «Aortic regurgitation»
(Text replacement - "==Treatment==" to "==Management==") |
(Text replacement - "don't" to "do not") |
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| Línea 27: | Línea 27: | ||
*Reduce afterload | *Reduce afterload | ||
**[[Nitroprusside]] | **[[Nitroprusside]] | ||
*Diuretics and nitrates | *Diuretics and nitrates do not work | ||
*Don't use beta blockers (block compensatory tachycardia) | *Don't use beta blockers (block compensatory tachycardia) | ||
Revisión del 14:55 11 jul 2016
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 with out cardiac enlargement
- Left ventricular hypertrophy and dilated aorta
- Transthoracic echo will provide a more definitive diagnosis
Management
- Immediate surgical intervention
- Reduce afterload
- Diuretics and nitrates do not work
- Don't use beta blockers (block compensatory tachycardia)