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Sunday, January 8, 2017

Acute Valvular Emergencies

emDocs - jan 6, 2017 - Authors: Zack J and Long B -  Edited by: Koyfman A
"Key Takeaways:
  • In patients presenting with sudden onset dyspnea, always keep a valvular emergency on the differential.
  • Murmurs may not be audible in the acute setting.
  • Definitive management is surgery more often than not, so get consultants on board early.
  • If you have a sick patient with a native valve emergency consider nitroprusside +/- dobutamine.
  • If present, don’t forget to treat the underlying cause of aortic regurgitation (aortic dissection, endocarditis), mitral regurgitation (ischemia, endocarditis), or prosthetic valve emergency (endocarditis, thrombosis)."