Valvular Heart Disease

Question 1

Management Goals with Aortic Stenosis:
\_\_ Preload
\_\_ HR
\_\_ SVR
\_\_ PVR

Answer 1

> Preload
Avoid extremes of HR
SVR
Maintain PVR

Question 2

Management Goals with Aortic Regurgitation:
\_\_ Preload
\_\_ HR
\_\_ SVR
\_\_ PVR

Answer 2

> Preload
HR
< SVR
Maintain PVR

Question 3

Management Goals with Mitral Stenosis:
\_\_ Preload
\_\_ HR
\_\_ SVR
\_\_ PVR

Answer 3

> Preload
< HR
Maintain SVR
< PVR (avoid acidosis and hypoxia)

Question 4

Management Goal with Mitral Regurgitation:
\_\_ Preload
\_\_ HR
\_\_ SVR
\_\_ PVR

Answer 4

> or < Preload
HR
< SVR
< PVR (avoid acidosis and hypoxemia)

Question 5

Management Goals with Hypertrophic Cardiomyopathy:
\_\_ Preload
\_\_ HR
\_\_ Contractility
\_\_ SVR
\_\_ PVR

Answer 5

> Preload
< HR
< Contractility
> SVR
Maintain PVR

Question 6

What to avoid with Hypertrophic Cardiomyopathy:

Answer 6

Anything that causes a reduction in left ventricular volume

• < Preload
• > Contractility
• < Afterload