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