Aorti Stenosis Flashcards
1
Q
Causes
- ? of congenital ? valve - ? common
- post ? scarring
- senile ? degeneration - no cause
A
calcification bicuspid most rheumatic calcific
2
Q
Pathology
progressive ? obstruction leads to left ventricular ? - may give ?
risk of ? cardiac ? due to arrhythmias and without surgical intervention prog is with death in ?-? years
A
outflow hypertrophy angina sudden death 2-3
3
Q
Sx exercised induced ?, ? and dyspnoea Tx Prompt valve replacement if ? percutaneous ? if unfit for surgery
A
angina
syncope
Sx
valvuloplasty
4
Q
Signs
Pulse - ? vol, slow rising ? pulse
BP - ? PP as stroke vol is ?
Palpation - normal apex beat, may be ? thrill in the ? area and ? apex beat
Auscultation - ? systolic murmur with a ? characteristic, best heard in ? valve area radiating to the ?
signs of ??? then CCF
A
small carotid narrow low systolic aortic thrusting ejection crescendo aortic carotid lvf
