Aortic stenosis trial

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  • Created by: Guly
  • Created on: 27-03-13 16:38
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  • Aortic Stenosis
    • Symptoms
      • Shortness of breath
      • Syncope
      • Reduced exercise tolerance
      • Angina
      • Palpitations
    • Aetiology
      • Bicuspid aortic valve
      • Rheumatic heart disease
      • Senile calcification
      • Infective endocarditis
    • Signs/Diagnosis
      • Ejection systolic murmur --> to carotids
      • CXR may show calcification around valve
      • ECG may show left ventricular hypertrophy
      • Echocardiography
    • Management
      • Medical
        • ACE inhibitors/diuretics?
      • Surgical
        • Balloon valvuloplasty? Valvotomy?
        • Aortic valve replacement
          • Transcatheter aortic valve implantation
          • Surgical aortic valve replacement
            • Mechanical (needs lifelong warfarin)
            • Tissue valve (3 months warfarin - but shorter valve life)
    • Complications
      • Sudden death!
      • Heart failure
      • ?Endocarditis

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