Flashcards in aortic valve disease Deck (15)
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1
what is the most common cause of valvular aortic regurg?
congenital bicuspid valve
2
what is the most common cause of root aortic regurg
root dilation or injury (50% of pure AR cases)
3
cor bovinum?
marked LV hypertrophy
4
WIDE PULSE PRESSURE
LV APEX DIFFUSE, HYPERDYNAMIC, DISPLACED LEFT AND DOWNWARD
S3 COMMON WITH LV DYSFUNCTION
aortic regurg
5
the ______the murmur, the worse the reregurg
longer
6
can you use cardiac stress test to dx aortic stenosis?
it's contraindicated
7
pharmacologic tx for aortic regurg
ace inhibs
8
why use ace inhibs for aortic regurg?
reduce afterload, improve LV ejection
9
most common cause of aortic stenosis under 75 yo
CONGENITAL BICUSPID VALVE
10
most common cause of aortic stenosis > 75 yo
degenerative
11
which valve disease?
PULSUS PARVUS ET TARDUS: ARTERIAL PULSES ARE SMALL AND LATE
Apical impulse left and downward
Murmur: SYSTOLIC EJECTION MURMUR
aortic stenosis
12
murmur sound: • DIASTOLIC, DECRESCENDO, BLOWING OR MUSICAL in the 2ND RICS
aortic regurg
13
Murmur: SYSTOLIC EJECTION MURMUR
aortic stenosis
14
how to tx aortic stenosis?
valve replacement when symptomatic
15