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

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