Aortic stenosis

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

See Also

Valvular Emergencies

Source

Tintinalli