Aortic regurgitation: Difference between revisions
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*Dyspnea | *Dyspnea | ||
*[[Hypotension]] (may progress to cardiogenic shock) | *[[Hypotension]] (may progress to cardiogenic shock) | ||
* | *Decrescendo diastolic [[murmur]] heard immediately after S2 | ||
*[[CXR]] | *[[CXR]] | ||
**Pulmonary edema w/o cardiac enlargement | **Pulmonary edema w/o cardiac enlargement | ||
Revision as of 13:44, 13 August 2015
Background
- Causes
- Endocarditis
- Aortic dissection
- Always suspect in acute aortic regugitation
- Blunt chest trauma
Diagnosis
- Pulmonary edema
- Wide pulse pressure
- Dyspnea
- Hypotension (may progress to cardiogenic shock)
- Decrescendo diastolic murmur heard immediately after S2
- CXR
- Pulmonary edema w/o cardiac enlargement
Differential Diagnosis
Valvular Emergencies
Treatment
- Immediate surgical intervention
- Reduce afterload
- Diuretics and nitrates don't work
- Don't use beta blockers (block compensatory tachycardia)
See Also
Source
Tintinalli