Treatment

Question 1

What is the only definitive curative treatment?

Answer 1

Aortic valve replacement

Question 2

When should an aortic valve replacement be used?

Answer 2

When the patient is symptomatic as death will occur without intervention

Question 3

What is an option for high risk surgical patients?

Answer 3

TAVI - Transcatheter Aortic Valve Implantation

Question 4

What can be used for patients who are suitable for neither the TAVI or valve replacement?

Answer 4

Diuretics, Ace Inhibitors, digoxin

Question 5

How does digoxin work?

Answer 5

Slows HR and increases filling by inhibiting Na/K pump so AV node conduction slowed

Also increases intracellular calcium to increase contraction

Question 6

What are the advantages and disadvantages of a mechanical valve?

Answer 6

Ad - Last longer

Dis - Need to be on warfarin

Question 7

What are the advantages and disadvantages of a biological replacement?

Answer 7

Ad - No warfarin

Dis - Need to be replaced earlier, particularly if active

Question 8

How soes digoxin toxicity classically show on an ECG?

Answer 8

ST scoop