Condition Info - BotMed Application

ConditionName

Valve disorders (murmurs)

ConditionDescription

Symptoms

Chest pain;
SOB;
Fatigue;
Fainting;
Palpitation (any signs of valve disease or heart failure);

PhysicalFindings

R-side: ↑with inhalation;
L-side:↑with exhalation;

Left ventricle deletion;

ClinicalTests

Best initial test: transthoracic ECG;
Echo (best);
Transesophageal more sensitive and specific;
Most accurate test: catheterization (can measure diameter);

EKG: not specific for valvular HD;
x-ray;

RiskFactors

IsRedFlag

IsNPLEX

Consequence

CHF;
Diastolic worse than systolic;

ProgressionFromCondition

TreatmentOptions

PharmOptions

Diuretics – decrease load;
Medication for stenosis – not effective;

Stenosis:
Mitral (pregnant or immigrants): dilated with balloon;
Aortic: surgical replacement (calcification), initial: diuretics ;

Regurgitation:
Best treatment – vasodilators;
ACE/ARB, decrease progression;
Too dilated heart – surgery (check end-systolic diameter);
Digoxin, diuretics – for symptoms only;

Warfarin: only for A-fib! 
Rate control: Digoxin, BB;

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