Aortic Stenosis Flashcards
1
Q
What are the common examination findings?
A
May be SAD - Syncope/Angina/Chest pain
TRIAD - Slow rising pulse/Narrow pulse pressure/ESM which may radiate to the carotids
Palpable heave and thrill
2
Q
What are the investigations?
A
To finish the exam i would like to - Fundoscopy, respiratory exam, and Peripheral arterial exam,urinalysis and BP
By the bed - History and obs.
Bloods - FBC, U/E, TFTs
Other - ECG, ECHO to assess severity
CXR
3
Q
What are the key investigation findings?
A
Echo may show gradient over 55
Stroke volume may be reduced
4
Q
What is the treatment?
A
Conservative - Explain to the patient
Medical - monitoring
Surgical - Valvular replacement
5
Q
What are the risk factors?
A
Age and calcification
Bicuspid valve
Rheumatic fever
