Valvular emergencies: Difference between revisions

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Symptomatic:
==Differential Diagnosis==
 
{{Valvular emergencies DDX}}
1) Mitral Regurg
 
    -Rx: reduce afterload (e.g. nitroprusside, NTG)
 
    -If 2nd to AMI, Rx: NTG
 
2) Mitral Stenosis
 
    -Rx: rate control if tachy
 
    -Associated with hemoptysis
 
    -Transfuse + surg
 
3) Aortic Regurg
 
    -Rx: reduce afterload (e.g. nitroprusside, NTG)
 
4) Aortic Stenosis
 
    -Rx: rate control if tachy
 
    -Do not reduce afterload!! (use nitrates very cautiously)
 
    -Admit if symptomatic (e.g. syncope)
 
    - + A.fib = emergency, consider emergent cardioversion
 
 
*Consider emerg surg for all if primary cause of sx or refractory to Rx
 


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


 
==References==
Cards: Heart Murmur Sounds
<references/>
 
Cards: Heart Murmur Manuvers
 
 
==Source ==
 
 
10/07 DONALDSON (adapted from Tintinalli, emedicine)
 
 




[[Category:Cards]]
[[Category:Cardiology]]

Latest revision as of 18:26, 14 December 2022