Valvular Heart Disease

Question 1

Normal intracardiac pressures

Answer 1

Question 2

What is a dromotrophic effect?

Answer 2

Dromotropic effect - increase the conduction velocity

Question 3

What are determinates of preload?

Answer 3

Question 4

What is LaPlace’s law?

Answer 4

Question 5

Ranges of mitral stenosis

Answer 5

Question 6

Ranges of mitral regurgitation

Answer 6

Question 7

Treatment for mitral regurgitation

Answer 7

Question 8

Symptoms and treatment of mitral valve prolapse?

Answer 8

Question 9

Ranges for aortic stenosis

Answer 9

Question 10

Ranges for Aortic Regurgitation/Insufficiency

Answer 10

Question 11

New York Heart Association functional classification of patients with heart disease

Answer 11

Question 12

Types and complications of prosthetic valves?

Answer 12

Question 13

How to manage patients on warfarin?

Answer 13

Question 14

Anesthetic management mitral regurgitation

Answer 14

Question 15

Anesthetic management aortic regurgitation

Answer 15

•N2O,Sevo, Iso, Des
–Decrease SVR
–Low dose Phenylephrine for hypotension

•High doses increase regurg

•Severe- high dose narcotics
–Careful of bradycardia, N2O, benzo’s

•Vent- slow and low
–Normal CO2, O2

Question 16

Anesthetic managment aortic stenosis

Answer 16

Question 17

Anesthetic managment mitral stenosis

Answer 17

Question 18

Anesthetic managment Tricuspid regurgitation

Answer 18