Valvular heart disease

Question 1

What measurements on echocardiogram are consistent with severe AS for:

1) Mean pressure gradient
2) Valve area
3) Dimensionless index
4) Peak velocity

Answer 1

1) >40mmHg
2) <1cm2
3) <0.25
4) >4m/s

Question 2

Name 4 clinical signs you might see in a patient with aortic stenosis.

Answer 2

Ejection systolic murmur
Pulsus parvus et tardus
Narrow pulse pressure
Soft S2
Reverse splitting of S2
Systolic thrill in aortic area

Question 3

Name two causes of acute aortic regurgitation.

Answer 3

Infective endocarditis

Aortic dissection