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Show Notes
In this episode, Sam Ashoo, MD interviews Adam Sigal, MD and Stephanie Costa, MD - the authors of the August 2022 EMP article on Managing Acute Cardiac Valvular Emergencies in the Emergency Department. Listen to the discussion to hear more about the emergency medicine approach to valvular emergencies.
Managing Acute Cardiac Valvular Emergencies in the Emergency Department
EMplify - August 2022
Episode Outline:
Why Valvular disease?
- How common is it?
- How often do we see it in the ED?
- Which valves are we talking about?
Aortic Valve Disease
- Types and causes
Mitral Valve Disease
- Types and causes
Tricuspid and Pulmonic Disease
Differential Diagnosis
- acute coronary syndromes (ACS)
- pulmonary embolism
- tamponade
- chronic obstructive pulmonary disease (COPD)
- pneumonia
- pneumothorax
Prehospital Care
- Evaluation of chest pain
- History
- Shock
ED Evaluation
History
- Aortic Stenosis
- Aortic Regurgitation
- Mitral Stenosis
- Mitral Regurgitation
Physical exam findings
Diagnostic Testing
- Labs
- ECG
- CXR
- Bedside US
- Formal ECHO
Treatment
Special Populations
- Prosthetic valves
- Pregnant patients