Guides: Cardiovascular/Pulmonary: Case 10

Boards and Beyond - Supplementary

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This Week: 58 minutes

Sub-Category 09: Other Cardiovascular Topics

Sub-Category 08: Hypertension

Book Chapters

Article:

Aortic-valve stenosis--from patients at risk to severe valve obstruction
Excellent review

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Otto CM, Prendergast B. Aortic-valve stenosis--from patients at risk to severe valve obstruction. N Engl J Med. 2014;371(8):744-756. doi:10.1056/NEJMra1313875
Clinical problem-solving. A tight predicament.
Bui AH, O'Gara PT, Economy KE, Miller AL, Loscalzo J. Clinical problem-solving. A tight predicament. N Engl J Med. 2014;371(10):953-959. doi:10.1056/NEJMcps1304030
Mitral Annulus Calcification
Abramowitz Y, Jilaihawi H, Chakravarty T, Mack MJ, Makkar RR. Mitral Annulus Calcification. J Am Coll Cardiol. 2015;66(17):1934-1941. doi:10.1016/j.jacc.2015.08.872

Objectives - Case 10 - James and Lopez - Valvular

Patient #1: Michael James - Aortic Stenosis

Describe the changes in the myocardium and cardiac chambers that predispose to arrhythmias.
Explain the physiologic response and development of symptoms with aortic valve pathologies.
Describe the natural history of aortic stenosis and its complications.
Discuss the effects of Digoxin and the mechanisms of toxicity.

Patient #2: Vail - Mitral Stenosis

Elicit a focused H & P (in real time).
Integrate cardiovascular and pulmonary symptomatology into a reasonable differential diagnosis.
Describe the physiology and pathophysiology of hemoptysis.
Use the knowledge of pharmacology to describe the rationale for using (or not using) the following drugs: Diuretics, Beta-blockers, ACE-inhibitors/ARBs
Describe intra-cardiac pressures as presented from the Swan-Ganz catheter.