estenose mitral Flashcards

1
Q

Quando paciente com arritmia sempre pensar em…

A

estenose mitral

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2
Q

patologia

A

A pressão atrial aumenta→aumenta P no pulmão→sangue, arritmia, dispnéia, edema de MMII

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3
Q

Clínica

A

Dipnéia aos esforços, hemoptise, disfagia

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4
Q

Ausculta

A

sopro mesotelediastólico em ruflar, irradia para axila, hiperfonese de B1.

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5
Q

RX de tórax

A

Coração em bota, aumento do AE, linha b de kerley, sinal de bailarina

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6
Q

Tratamento

A

BB, BCC, nitrato, heparina

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7
Q

manobras

A

VALSALVA

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8
Q

porque é muito comum dar arritmias?

A

por conta da sobrecarga volumétrica do AE, onde o principal local de arritmias são nos óstios coronários.

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8
Q

porque é muito comum dar arritmias?

A

por conta da sobrecarga volumétrica do AE, onde o principal local de arritmias são nos óstios coronários.

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9
Q

Se escore de block<8

A

valvulopatia por cateter balão

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10
Q

Se escore de block entre 8-12

A

avaliar se cirurgia ou cateter balao

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11
Q

se escore de block maior que 12

A

cirurgia

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12
Q

tipos de cirurgia

A

plastia de valva ou troca de valva

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