aortic stenosis Flashcards
1
Q
triad
A
heart failure
syncope
angina
2
Q
signs OE
A
slow rising pulse
narrow pulse pressure
3
Q
systolic murmur - featrues
A
ejection systolic
loudest R. 2nd ICS
radiate to carotids
harsh
4
Q
ECG
A
left axis deviation
inc QRS voltage
5
Q
severe
A
peak gradient >40
valve area <1
aortic jet velocity >4
6
Q
indications for intervention
A
symptomatic
LVEF < 50%
aortic peak velocity >5
7
Q
Mx
A
transcatheter aortic valve implantation
or
surgical aortic valve replacement
8
Q
TAVI - who
A
severe comorbidities
prev heart surgery
frailty
>75yrs
9
Q
SAVR - who
A
low risk
<75yrs
