Valvular Disoerders

Question 1

Presents with an Opening Snap and Midiastolic Rumble

Echo shows an increase in LA but normal LV. There is increase in transmitral velocity.

Dx?

What is it commonly associated with?

Rx?

Answer 1

Mitral Stenosis

AS S PS S
AR D PR D

MS D
MR S

Rheumatic Heart Disease
Radiation

Percutaneous Valvulotomy/Valvuloplasty
Surgical Repair/Replacement

Question 2

1. INR for a Mechanical Mitral Valve and Why ?
2. INR for a Mechanical Aortic Valve W/O Complications and Why?
3. INR for Mechanical Aortic Valve + Complications?

Answer 2

1. 2.5-3.5 ( High Risk of Thrombosis & Afib)
2. 2.0-3.0 (less risk of thrombosis and Afib)
3. 2.5 -3.5 ( Afib, Hypercoaguable state, old generation Mechanical Aortic Valve)