Show:
Timing
sound
Auscultated Best
Presentations
management and monitoring
100
Aortic Stenosis
What is Systole?
100
89 year old female with a crescendo-decrescendo murmur with an S4 when significant LVH is present.
What is aortic stenosis?
100
This murmur is heard best along the left sternal border 3rd to 4th ICS with the patient sitting upright and leaning forward with held breath following exhalation.
What is Aortic Regurgitation?
100
The following (3) symptoms indicated a poor prognosis in a patient with aortic stenosis.
What is Angina, Syncope, CHF?
100
A patient with mild aortic stenosis will benefit from echo surveillance every___ years
What is 5?
200
Mitral stenosis
What is diastole?
200
low pitched rumble following an opening snap
What is Mitral Stenosis?
200
This murmur is heard best using the bell placed at the apex with the patient in the left lateral decubitus position.
What is Mitral stenosis?
200
Patients with recent reports of night sweats, chills, and malaise who present with progressive worsening dyspnea, and cardiogenic shock (tachycardic and Hypotensive) and fulminant pulmonary edema with no evidence of Left atrial enlargement on echo is likely suffering from this valvular complication?
What is Acute severe AR due to endocarditis
200
The management of Acute AR is to stabilize a patient in cardiogenic shock what drugs (3) may be most beneficial in this presentation?
What is IV Nitroprusside, Ionotropes(dobutamine/dopamine) with caution, Diuretics?
300
Aortic Insuffiency
What is Diastole?
300
A low-pitched, mid to late diastolic rumble, heard at the apex
What is Austin Flint Murmur?
300
This murmur who's intensity increases with inspiration is heard loudest at the apex.
What is Tricuspid Regurgitation?
300
65 year old female with history of MVP with minimal regurgitation reports increased palpitations. What arrhythmia is commonly associated with progression to severe MR?
What is atrial Fibrillation?
300
The use of a IABP is an option for stabilization in patients with this acute valvular presentation.
What is Acute MR?
400
Tricuspid Regurgitation
What is Systole?
400
Harsh holosystolic who's intensity is unchanged with inspiration.
What is Mitral Regurgitation?
400
When auscultating a patient an noting a crisp click heard loudest at the apex that is nonradiating to the carotids one suspects the presence of a...
What is mechanical mitral valve?
400
A presents to clinic with peripheral edema, fatigue, exertional dyspnea she has not history of drug use, or valvular heart disease. What etiology is commonly associated with functional TR
What is Pulmonary HTN?
400
In a patient with Mitral stenosis and NYHA Class 1 symptoms with this intervention is recommended.
What is watchful waiting? Till progression to NYHA CLASS III
500
Mitral Valve Prolapse
What is Late Systolic Murmur?
500
The intensity of a murmur associated with Hypertrophic Cardiomyoapthy does this with valsalva strain.
What is increases?
500
This heart sound is heard in late diastole at the apex thought to be a result of LV noncompliance.
What is S4?
500
35 year old male with history of syncope and no prior medical evaluation presents to cardiology clinic following newly diagnosed murmur. What is your differential diagnosis in this patient and what maneuver will help you differentiate it further?
What is AS due to Bicuspid AV vs HOCM Valsalva Strain/release or Stand/squat maneuver
500
Patients ____________ that are considered to be to high risk for open heart surgery can be considered a candidate for ______________.
What is AS and percutaneous valve placement (TAVR)?