Beruflich Dokumente
Kultur Dokumente
Graham Steel
____________________________________________________ ____ __________________________Medicine 2
Murmur
-high pitch
diastolic
decrescendo
blowing murmur
-base-left
parasternal
border
-due to dilation
of pulmonary
valve ring
ECG Lead II- m LAH-notched P Left Axis -LVH (V1, V6) -LVH
pattern wave LII ( P Deviation -Left Atrial -Right Atrial
V1-exagerated mitrale) Enlargement Enlargement
negative -exageration -Left Axis Tall R wave- V1,
negative P wave Deviation V2
V1 Persistent S wave
V5, V6
LVH-deep S P wave-increased
wave in V1, tall R in amplitude more
waves in V5, V6 than 2.5 mm
Right Axis
Deviation
Enlargement Enlargement LA,
Left Atrium LV
CXR -Upliftment Left Displacement of Displaced apex to
Bronchus apex toward the inferior and
-Double-double leftand down lateral portion of
sign ( atrial the left side
enlargement)
-Left atrial
Appendage
enlargement
Echo Doming
motion of the
mitral valves
Treatment Rate control ACE/ ARBS Avoid physical Aortic Valve Ballooning-dilate
Beta blocker Beta Blocker activity Replacement valve
Diuretics Diuretics Beta blocker -TAVI cant be Done
Anticoagulant ACE done percutaneous
Mitral TAVI
Valvotomy Valve (transcatherter
Mitral Valve Replacement aortic valve
Replacement implant)