Valvular Emergencies

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 (https://www.ebmedicine.net/topics/cardiovascular/emergency-medicine-cardiac-valves). Listen to the discussion to hear more about the emergency medicine approach to valvular emergencies. Managing Acute Cardiac Valvular Emergencies in the Emergency DepartmentEMplify - August 2022Episode 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 causesMitral Valve Disease* Types and causesTricuspid and Pulmonic DiseaseDifferential Diagnosis* acute coronary syndromes (ACS)* pulmonary embolism* tamponade* chronic obstructive pulmonary disease (COPD)* pneumonia* pneumothoraxPrehospital Care* Evaluation of chest pain* History* Shock ED EvaluationHistory* Aortic Stenosis* Aortic Regurgitation* Mitral Stenosis* Mitral RegurgitationPhysical exam findings Diagnostic Testing * Labs* ECG* CXR* Bedside US* Formal ECHOTreatmentSpecial Populations* Prosthetic valves* Pregnant patientsSee Episode Page (https://foamed.ebmedicine.net/podcast/valvular-emergencies/)