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Sunday, July 3, 2022

Critical Aortic Stenosis

EMCrit RACC
CV-EMCrit 327 - July 1, 2022 by Katrina Augustin
Take Home Messages 
  • Always include valvular heart disease in your differential in patients with unexplained shock
  • Severe aortic stenosis is often associated with significant LVH & diastolic dysfunction making patients dependent on adequate preload and slower heart rates to allow time for LV filling
  • Maintain adequate diastolic blood pressure to ensure coronary perfusion and prevent ischemia of the hypertrophied left ventricle
  • Early consultation is imperative as these patients may need mechanical circulatory support or balloon aortic valvuloplasty in addition to medical therapy to stabilize them till definitive interventional or surgical treatment