Aortic Stenosis Flashcards

1
Q

4 most common types of Valvular Heart Disease?

A

Aortic Stenosis
Mitral regurg: >60 = 19%
Aortic Regurg ~13%
Mitral stenosis 62y=6%

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2
Q

who get aortic stenosis more, male or female?

A

female>male

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3
Q

who gets mitral stenosis? as a result of?

A

usually younger people due to rheumatic fever

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4
Q

aortic stenosis initially presents? then?

A

asymptomatically

then SOBOE>angina>heart failure>syncope

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5
Q

Aortic Regurg initial presentation?

A

asymptomatic

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6
Q

Mitral regurg symptomatic when?

A

with arrythmias, AF, LV failure, pul HTN

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7
Q

What are mitral regurg symptoms?

A

exertional dyspnoea, fatigue

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8
Q

what kind of murmur in aortic stenosis?

A

systolic murmur with mid-late peak intensity

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9
Q

How is S2 in aortic stenosis?

A

reduced intensity

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10
Q

classic aortic stenosis symptoms?

A

angina
dyspnoea
heart failure
syncope

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11
Q

what kind of murmur for aortic regurg?

A

long diastolic murmur

wide pulse pressure

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12
Q

how does aortic regurg usually come about pathopysiologically?

A

usually accompanies aortic stenosis or valve disease

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13
Q

most common pathophysiological cause of aortic stenosis?

A

calcification of a bicuspid valve

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14
Q

younger patients of aortic stenosis usually have?

A

bicuspid valve

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15
Q

How to manage aortic stenosis?

A

treat the hypertension

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16
Q

how to manage aortic stenosis pharmacologically?

A

diuretics (reduce preload)
beta-blockers(reduce contractility)
vasodilators(reduce systemic BP)

17
Q

2 kinds of aortic valve replacements:

A

bi-prosthetic (if warfarin contraindicated)

mechanical (long projected life)

18
Q

what is aortic valvotomy?

A

balloon inserted to fracture calcific deposits

19
Q

what treatment once aortic stenosis is symptomatic?

A

valve replacement