Valvular emergencies: Difference between revisions

Revision as of 18:12, 12 March 2011

Symptomatic

Mitral Regurg
1. Rx: reduce afterload (e.g. nitroprusside, NTG)
2. If 2nd to AMI, Rx: NTG
Mitral Stenosis
1. Rx: rate control if tachy
2. Associated with hemoptysis
3. Transfuse + surg
Aortic Regurg
1. Rx: reduce afterload (e.g. nitroprusside, NTG)
Aortic Stenosis
1. Rx: rate control if tachy
2. Do not reduce afterload!! (use nitrates very cautiously)
3. Admit if symptomatic (e.g. syncope)
4. + A.fib = emergency, consider emergent cardioversion

Consider emerg surg for all if primary cause of sx or refractory to Rx

10/07 DONALDSON (adapted from Tintinalli, emedicine)

Authors:

@@ Line 1: / Line 1: @@
-Symptomatic:
+Symptomatic
+#Mitral Regurg
+##Rx: reduce afterload (e.g. nitroprusside, NTG)
+##If 2nd to AMI, Rx: NTG
+#Mitral Stenosis
+##Rx: rate control if tachy
+##Associated with hemoptysis
+##Transfuse + surg
+#Aortic Regurg
+##Rx: reduce afterload (e.g. nitroprusside, NTG)
+#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
-) Mitral Regurg
+Consider emerg surg for all if primary cause of sx or refractory to Rx
-     -Rx: reduce afterload (e.g. nitroprusside, NTG)
-     -If 2nd to AMI, Rx: NTG
-) Mitral Stenosis
-     -Rx: rate control if tachy
-     -Associated with hemoptysis
-     -Transfuse + surg
-) Aortic Regurg
-     -Rx: reduce afterload (e.g. nitroprusside, NTG)
-) 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==
 Cards: Heart Murmur Sounds
 Cards: Heart Murmur Manuvers
+==Source==
-==Source ==
 /07 DONALDSON (adapted from Tintinalli, emedicine)
 [[Category:Cards]]