Aortic regurgitation: Difference between revisions
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Neil.m.young (talk | contribs) (Text replacement - "Ultrasound: Cardiac" to "Cardiac ultrasound") |
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**May see pulmonary edema with out cardiac enlargement | **May see pulmonary edema with out cardiac enlargement | ||
**Left ventricular hypertrophy and dilated aorta | **Left ventricular hypertrophy and dilated aorta | ||
*[[ | *[[Cardiac ultrasound|Transthoracic echo]] will provide a more definitive diagnosis | ||
==Management== | ==Management== | ||
Revision as of 13:48, 4 March 2017
Background
Causes
- Endocarditis
- Aortic dissection
- Always suspect in acute aortic regugitation
- Blunt chest trauma
Clinical Features
- Pulmonary edema
- Wide pulse pressure
- Dyspnea
- Hypotension (may progress to cardiogenic shock)
- Decrescendo diastolic murmur heard immediately after S2
Differential Diagnosis
Valvular Emergencies
Evaluation
Consider the following tests
- CXR may be helpful
- May see pulmonary edema with out cardiac enlargement
- Left ventricular hypertrophy and dilated aorta
- Transthoracic echo will provide a more definitive diagnosis
Management
- Immediate surgical intervention
- Reduce afterload
- Diuretics and nitrates do not work
- Do not use beta blockers (block compensatory tachycardia)