Cardiovascular V

Question 1

Pulmonary Valve Stenosis
Max Cert & Waiting Period
Advise
Notes

Answer 1

1 yr - Max Cert
0 - Waiting Period
Cardiologist Clearance
DQ: dyspnea, palpitations, syncope, valve peak gradient > 50mm Hg w/ normal output, SV pressure > 50% systemic, > mild RV hypertrophy or dysfunction, > mod pulmonary valve regurgitation, main pulmonary artery >5cm.

Question 2

Mitral Regurgitation - mild
Max Cert & Waiting Period
Advise
Notes

Answer 2

1 yr - Max Cert
0 - Waiting Period
ASX to Cert
normal LV size/function
normal Pulmonary Artery Pressure (PAP)

Question 3

Mitral Regurgitation - mod
Max Cert & Waiting Period
Advise
Notes

Answer 3

1 yr - Max Cert
0 - Waiting Period
annual echo
ASX to Cert
normal LV size/function
normal Pulmonary Artery Pressure (PAP)

Question 4

Mitral Regurgitation - severe
Max Cert & Waiting Period
Advise
Notes

Answer 4

1 yr - Max Cert
0 - Waiting Period
echo every 6-12 m, ETT
ASX to Cert
DQ: > 6 METS on Bruce Protocol, A-fib, LV dysfunction, ruptured chordae, thromboembolism, Pulm arterial pressure >50 % systemic arterial pressure

Question 5

Mitral Regurgitation - Post Surgery
Max Cert & Waiting Period
Advise
Notes

Answer 5

1 yr - Max Cert
3 m - Waiting Period
Cardiologist Clearance
ASX to Cert
DQ: > 6 METS on Bruce Protocol, A-fib, LV dysfunction, ruptured chordae, thromboembolism, Pulm arterial pressure >50 % systemic arterial pressure

Question 6

Mitral Stenosis - mild
Max Cert & Waiting Period
Advise
Notes

Answer 6

MVA >1.6cm²
1 yr - Max Cert
0 - Waiting Period
ASX to Cert

Question 7

Mitral Stenosis - mod
Max Cert & Waiting Period
Advise
Notes

Answer 7

MVA 1 - 1.6cm²
1 yr - Max Cert
0 - Waiting Period
ASX to Cert

Question 8

Mitral Stenosis - severe
Max Cert & Waiting Period
Advise
Notes

Answer 8

MVA < 1 cm² Surgical
0 - Max Cert
0 - Waiting Period
DQ

Question 9

Mitral Stenosis - Post Surgery
Max Cert & Waiting Period
Advise
Notes

Answer 9

1 yr - Max Cert
3 m - Waiting Period
Cardiologist Eval Annually
DQ: NYHA class II or higher, A-fib, Pulmonary Arterial Pressure > 50% systemic arterial pressure, unable to achieve > 6 METS on Bruce protocol

Question 10

Valve Replacement
Max Cert & Waiting Period
Advise
Notes

Answer 10

1 yr - Max Cert
3 m - Waiting Period
Cardiologist Clearance
ASX to Cert
DQ: LVEF < 40%, Pulminary HTN, inadequate Anticoagulation (per monthly INR), Thromboembolic complications

Question 11

Cardiomyopathy
Max Cert & Waiting Period
Advise
Notes

Answer 11

0 - Max Cert
0 - Waiting Period
DQ