aortic valve disease

Question 1

what is the most common cause of valvular aortic regurg?

Answer 1

congenital bicuspid valve

Question 2

what is the most common cause of root aortic regurg

Answer 2

root dilation or injury (50% of pure AR cases)

Question 3

cor bovinum?

Answer 3

marked LV hypertrophy

Question 4

 WIDE PULSE PRESSURE
 LV APEX DIFFUSE, HYPERDYNAMIC, DISPLACED LEFT AND DOWNWARD
 S3 COMMON WITH LV DYSFUNCTION

Answer 4

aortic regurg

Question 5

the ______the murmur, the worse the reregurg

Answer 5

longer

Question 6

can you use cardiac stress test to dx aortic stenosis?

Answer 6

it’s contraindicated

Question 7

pharmacologic tx for aortic regurg

Answer 7

ace inhibs

Question 8

why use ace inhibs for aortic regurg?

Answer 8

reduce afterload, improve LV ejection

Question 9

most common cause of aortic stenosis under 75 yo

Answer 9

CONGENITAL BICUSPID VALVE

Question 10

most common cause of aortic stenosis > 75 yo

Answer 10

degenerative

Question 11

which valve disease?
 PULSUS PARVUS ET TARDUS: ARTERIAL PULSES ARE SMALL AND LATE
 Apical impulse left and downward
 Murmur: SYSTOLIC EJECTION MURMUR

Answer 11

aortic stenosis

Question 12

murmur sound: • DIASTOLIC, DECRESCENDO, BLOWING OR MUSICAL in the 2ND RICS

Answer 12

aortic regurg

Question 13

Murmur: SYSTOLIC EJECTION MURMUR

Answer 13

aortic stenosis

Question 14

how to tx aortic stenosis?

Answer 14

valve replacement when symptomatic

Question 15

how o tx aortic stenosis with pharmacotx?

Answer 15

DON’T –makes it worse