Aortic regurgitation Flashcards

1
Q

give the most common cause of acute AR

A

infective endocarditis

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2
Q

give the three most common causes of chronic AR

A

rheumatic fever
congenital
connective tissue disorders

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3
Q

what stage of the cardiac cycle does blood backflow during

A

diastole

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4
Q

what type of pulse might you see in AR

A

pulsus bisiferiens
collapsing pulse
wide pulse pressure

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5
Q

what two types of valvular disease cause a displaced apex beat

A

aortic regurg

mitral regurg

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6
Q

where do you best hear an AR murmur

A

left lower sternal edge

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7
Q

what are the clinical features of AR

A

acute: dyspnoea and features of pulmonary oedema

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8
Q

what type of murmur do you hear in AR

A

high pitched early diastolic murmur

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9
Q

what might you see on ECG of AR

A

LV hypertrophy

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10
Q

how do you manage acute AR

A

immediate surgical intervention

haemodynamic support may be req

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11
Q

how do you manage chronic AR

A

treat HTN

symptomatic patients require surgery
- can use ACEi and BBs if CI

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12
Q

what might you see on CXR of AR

A

cardiomegaly
dilated ascending aorta
pulmonary oedema

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