SOE 514: Aortic Stenosis Archives

SOE 514: Aortic Stenosis

SOE Format: Please answer the following questions on the given topic The case will be displayed with each question followed by an answer, allowing you to review your given response A timer is available for use to determine the given time period Introduction A...

What are the causes of aortic stenosis?

Type Primary Congenital Acquired Recommendation Bicuspid valve (2% prevalence - typically presents 4th to 6th decade)Congenital subaortic membraneOther congenital heart disease (e.g. supravalvular stenosis) Degenerative (senile) calcification - most common in the...

What is the natural course of aortic stenosis? What is the risk of sudden death if left untreated?

Classically associate with a prolonged asymptomatic period followed by rapid progression of symptoms Asymptomatic disease: Risk of sudden death of 1% Symptomatic disease: Poor prognosis without valve replacement Average survival 2-5 years 50% incidence of sudden death...

What are the symptoms of aortic stenosis?

Symptoms Classic triad of symptoms: AnginaCan occur with normal coronary arteriesCaused by increased myocardial oxygen demand due to LV hypertrophyvCompounded by reduced myocardial oxygen supply due to LV hypertrophy distorting flow and coronary...

Describe the heart sounds that are suggestive of aortic stenosis?

Signs Heart Sounds Ejection systolic murmur:Harsh, crescendo-decrescendo in natureLoudest over the aortic area (second right intercostal space)Exacerbated by asking the patient to lean forward and taking a deep breath in. May radiate to the carotids. May lessen in...

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