Valvulopathy

Question 1

Valve Presentation

Answer 1

SOB, OE, how far can you walk
Chest pain, palpitations, LOC, PND

Question 2

Valve Risk factors

Answer 2

Rheumatic heart disease, infective endo
Ageing, calcification, SLE (MR), RA + Ank Spon (AR), Marfans (MR, AR)

Question 3

Valve Investigations

Answer 3

ECHO, ETT

Question 4

Valve Treatment

Answer 4

Optimise risk factors
Medications: AF, BP meds, HF
Regurg: annuloplasty
Stenosis: balloon valvuloplasty, TAVI
Both: valve replacement (open surg)

Question 5

Valve Complications

Answer 5

SE of meds, compliance. SE of procedures
Hospital admissions because of your heart?
Funny heart rhythms? Pump function? IE?
Liver or kidney issues?

Question 6

Valve Progress/Review

Answer 6

Currently: chest pain, SOB, palps?
Do you need more pillows now?
Fever, cough, runny nose?
Any swelling in legs? Any blood clots?

Cardiologist? Next ECHO?
Cardiac regabilitation