Aortic regurgitation: Difference between revisions
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==Background== | ==Background== | ||
*Causes | *Causes | ||
**Endocarditis | **[[Endocarditis]] | ||
**Aortic dissection | **[[Aortic dissection]] | ||
**Blunt chest trauma | **Blunt [[chest trauma]] | ||
==Diagnosis== | |||
*Pulmonary edema | *[[Pulmonary edema]] | ||
*Wide pulse pressure | *Wide pulse pressure | ||
*Dyspnea | *Dyspnea | ||
*Hypotension (may progress to cardiogenic shock) | *[[Hypotension]] (may progress to cardiogenic shock) | ||
*Diastolic murmur heard immediately after S2 | *Diastolic [[murmur]] heard immediately after S2 | ||
*CXR | *[[CXR]] | ||
**Pulmonary edema w/o cardiac enlargement | **Pulmonary edema w/o cardiac enlargement | ||
==Treatment== | |||
*Immediate surgical intervention | *Immediate surgical intervention | ||
*Reduce afterload | *Reduce afterload | ||
**Nitroprusside | **[[Nitroprusside]] | ||
*Diuretics and nitrates don't work | *Diuretics and nitrates don't work | ||
*Don't use beta blockers (block compensatory tachycardia) | *Don't use beta blockers (block compensatory tachycardia) | ||
==See Also== | ==See Also== | ||
*[[Valvular | *[[Valvular emergencies]] | ||
*[[Heart | *[[Heart murmurs]] | ||
==Source== | ==Source== | ||
Revision as of 08:13, 31 January 2015
Background
- Causes
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
- Diuretics and nitrates don't work
- Don't use beta blockers (block compensatory tachycardia)
See Also
Source
Tintinalli