Cautious use of digitalis, diuretics, and
(ACE) inhibitors
Vasodilators
Surgical
alloon valvuloplasty
aortic valve repair
aortic valve replacment
definition
Narrowing of the aortic valve
preventing it from opening
properly.
causes
Wear & tear
bicuspid aortic valve (congenital)
chronic rheumatic valve
disease
Signs &
Symptoms
heart murmurs
Palpitations
Angina
Shortness of breath
Fatigue and fainting
Complications
congestive heart failure
LVH
leading to
LAD
Investigations
Angiography
medical imaging technique
used to visualize the inside,
or lumen, of blood vessels
and organs of the body, with
particular interest in the
arteries, veins and the heart
chambers.
Echocardiogram
indispensable to the
assessment of the extent of
LV hypertrophy, systolic
ejection performance, and
anatomy of the aortic valve
demonstrates
Reduced separation of the cusp of the
aortic valve
Concentric LV hypertrophy
Mean gradients greater than 50 mm
Hg in patients with severe aortic
stenosis on Doppler echocardiography
Cardiac Catheterization
Cardiac catheterization provides an
accurate measure of aortic stenosis and is
an important tool, particularly in patients
who have discrepant clinical and
echocardiographic findings.
Electrocardiography
the principal finding is left
ventricular hypertrophy (LVH)