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Valvular Heart Disease Updated 12/2010

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BASICS

  • Description
  • Etiology

DIAGNOSIS

  • Signs and Symptoms
  • Essential Workup
  • Tests
  • Differential Diagnosis

TREATMENT

  • Pre-hospital
  • Initial Stabilization
  • ED Treatment
  • Medication (Drugs)
  • In-patient Considerations
The following is an excerpt....
BASICS
Description
  • Mitral stenosis:
    • Obstruction of diastolic blood flow into the left ventricle (LV)
  • Mitral regurgitation:
    • Inadequate closure of the leaflets allows retrograde blood flow into the left atrium (LA).
    • Acute: Pressure overload in LA and pulmonary veins causing acute pulmonary edema
    • Chronic: LV volume overload with dilatation and hypertrophy with LA enlargement
  • Aortic stenosis:
    • Obstruction of LV outflow with increased systolic gradient
    • Progressive increase in LV systolic pressure and concentric hypertrophy
  • Aortic regurgitation:
    • Acute LV pressure and volume overload leading to left-heart failure and pulmonary edema
    • Chronic volume overload with LV dilation and hypertrophy
ALERT: Pregnancy Considerations
Pregnancy is associated with significant hemodynamic changes that can aggravate valvular heart disease and increase the risk of thromboembolic events.
ALERT ...

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