Valvular Heart Disease

Question 1

If valsalva improves murmur, what medicine do you give?

Answer 1

Diuretics

Question 2

If amyl nitrate improves murmur, what medicine do you give?

Answer 2

ACEI

Question 3

Treatment for Aortic Regurgitation?

When to repair?

Answer 3

ACEI, ARBS, nifedipine, & furosemide (or other loop diuretic).

> 5cm, Left ventricular en systolic diameter is >55cm & EF<55%. Even if asymptomatic.

Question 4

Treatment for Mitral Regurgitation?

When to repair?

Answer 4

ACEI, ARBS, nifedipine, & furosemide (or other loop diuretic).

Left ventricular en systolic diameter is >40cm & EF<60%. Even if asymptomatic.

Question 5

INR targets in AR and MR mechanical valves

Answer 5

AR 2-3

MR 2.5-3.5