Dyspnea edema Chest X-Ray Prevent complications: A-fib Murmur Cardiac catheterization CHF Murmur Cough, crackles ECG Acute pulmonary edema Dry cough, dysphasia, bronchitis A-fib Cardiac MRI Thromboembolism Fatigue, weakness Prolapse: Recurrent endocarditis Right-sided heart failure Palpitations, irregular Palpitations, angina heartbeat, chest pain, Increase CO Crackles in lung bases Dizziness Prophylactic ABx Hemoptysis Cardioversion Anticoagulation Rest w/ limited activity Aortic valve disease Decreased CO Regurgitation: Digoxin – increase CO Exercise intolerance Murmur SX – open up valve, replace Decreased DBP, widening pulse Stenosis: pressure ring, new valve Repair Dyspnea, angina, fatigue, Pistol-shot femoral pulse Balloon valvuloplasty syncope that increases with Head bobbing with heartbeat Valve annuloplasty exertion Palpitations Replacement Murmur Waterhammer pulse Increased pulmonary artery Dyspnea, orthopnea, PND Gas exchange pressure Nocturnal angina w/ Prominent S4 diaphoresis Activity intolerance Pain management Lung congestion Bounding atrial pulse, apical L and R sided HF displaced to left Palpitations Inc SBP, dec DBP Dizziness, exercise intolerance L and R sided HF Tricuspid valve Decreased CO Murmur disorders Increased CVP R sided HF Low CO From rheumatic fever Dyspnea A-fib Fatigue Peripheral edema Pulmonary hypertension Pulmonic valve Dyspnea, fatigue Tall peaked T waves – atrial disease Murmur hypertrophy R sided HF A-fib From congenital anomalies Dilated Primary: unknown etiology HF symptoms CXR Inotropics cardiomyopathy Secondary: ischemia, viral Reduced tissue perfusion ECG Diuretics infections Baked up pulmonary system Echo Antidysrhythmics Follows MI and Alcohol intake, drug abuse Insidious onset Cardiac catheterization Rest
Dyspnea A-fib Murmur Dry cough, dysphasia, bronchitis Fatigue, weakness Right-sided heart failure Palpitations, angina Crackles in lung bases Hemoptysis edema Murmur Cough, crackles A-fib Prolapse: Palpitations, irregular heartbeat, chest pain, Dizziness Chest X-Ray Cardiac catheterization ECG Cardiac MRI Prevent complications: CHF Acute pulmonary edema Thromboembolism Recurrent endocarditis Increase CO Prophylactic ABx Cardioversion Anticoagulation Rest w/ limited activity Digoxin – increase CO SX – open up valve, replace ring, new valve Repair Balloon valvuloplasty Valve annuloplasty Replacement Gas exchange Activity intolerance Pain management Aortic valve disease Decreased CO Exercise intolerance Stenosis: Dyspnea, angina, fatigue, syncope that increases with exertion Murmur Increased pulmonary artery pressure Prominent S4 Lung congestion L and R sided HF Palpitations Regurgitation: Murmur Decreased DBP, widening pulse pressure Pistol-shot femoral pulse Head bobbing with heartbeat Palpitations Waterhammer pulse Dyspnea, orthopnea, PND Nocturnal angina w/ diaphoresis Bounding atrial pulse, apical displaced to left Inc SBP, dec DBP Dizziness, exercise intolerance L and R sided HF Tricuspid valve disorders From rheumatic fever Decreased CO Increased CVP Dyspnea Fatigue Peripheral edema Pulmonary hypertension Murmur R sided HF Low CO A-fib Pulmonic valve disease From congenital anomalies Dyspnea, fatigue Murmur R sided HF Tall peaked T waves – atrial hypertrophy A-fib Dilated cardiomyopathy Follows MI and Primary: unknown etiology Secondary: ischemia, viral infections Alcohol intake, drug abuse HF symptoms Reduced tissue perfusion Baked up pulmonary system Insidious onset CXR ECG Echo Cardiac catheterization Inotropics Diuretics Antidysrhythmics Rest