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375 Exam 3

Review

TermDefinition
CABG and PCI are palliative treatments
CABG indications left main coronary or 3 vessel disease, not candidates for PCI, continue to have chest pain after PCI; people with diabetes, LV dysfunction or CKD
transmyocardial laser revascularization for those with advanced CAD not candidates for CABG; laser creates blood flow to ischemic areas, left thoracotomy approach
mitral valve stenosis exertional dyspnea, SOB, fatigue, hemoptysis, hoarseness
aortic valve stenosis angina, syncope and exertional dyspnea; decreased or absent s2, systolic murmur
aortic stenosis treatment nitroglycerin; reduces preload and BP, can worsen chest pain
mitral valve regurgitation thready pulse, cool and clammy extremity, audible s3 murmur, weakness and fatigue
aortic regurgitation life threatening emergency; severe dyspnea, chest pain and hypotension, cardiogenic shock
chronic aortic regurgitation orthopnea, water hammer pulse
mitral valve prolapse murmur louder in systole, palpitations, light headedness
mitral prolapse teaching avoid stimulants, antibiotic prophylaxis, beta blockers
tricuspid regurgitation JVD, peripheral edema, enlarged liver
tricuspid stenosis fluttering discomfort in neck, fatigue, right upper quadrant pain
pulmonary regurgitation syncope, dyspnea, angina
drugs to treat and control valve disease vasodilators, positive inotropes, diuretics, beta blockers, anticoagulation
percutaneous transluminal balloon valvuloplasty treats stenosis, separates leaflets
mechanical valve replacement lifelong anticoagulation
TAVR severe aortic stenosis
Created by: ahommel
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