Aortic stenosis trial
- 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)
- Medical
- Complications
- Sudden death!
- Heart failure
- ?Endocarditis
- Symptoms
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