Sandbox Rim: Difference between revisions
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{{Family tree | | | | | | | | | | | | | | | | | | A01 | | | | | | | | | | | | | | | | A01= Determine the severity of mitral stenosis (MS)}} | {{Family tree | | | | | | | | | | | | | | | | | | A01 | | | | | | | | | | | | | | | | A01= <div style="float: left; text-align: left; width: 8em; padding:1em;">Determine the severity of mitral stenosis (MS)</div>}} | ||
{{Family tree | | | | | | | | |,|-|-|-|-|-|-|-|-|-|+|-|-|-|-|-|-|-|-|-|-|-|-|.| | | | }} | {{Family tree | | | | | | | | |,|-|-|-|-|-|-|-|-|-|+|-|-|-|-|-|-|-|-|-|-|-|-|.| | | | }} | ||
{{Family tree | | | | | | | | B01 | | | | | | | | B02 | | | | | | | | | | | B03 | | | B01= Very severe MS <br> MVA ≤1 cm2 <br> T1/2 ≥220 ms| B02= Severe MS <br> MVA ≤1.5 cm2 <br> T1/2 ≥150 ms| B03= Progressive MS <br> MVA >1.5 cm2 <br> T1/2 <150 ms}} | {{Family tree | | | | | | | | B01 | | | | | | | | B02 | | | | | | | | | | | B03 | | | B01= <div style="float: left; text-align: left; width: 8em; padding:1em;">Very severe MS <br> MVA ≤1 cm2 <br> T1/2 ≥220 ms </div>| B02= <div style="float: left; text-align: left; width: 8em; padding:1em;">Severe MS <br> MVA ≤1.5 cm2 <br> T1/2 ≥150 ms </div>| B03= <div style="float: left; text-align: left; width: 8em; padding:1em;">Progressive MS <br> MVA >1.5 cm2 <br> T1/2 <150 ms </div>}} | ||
{{Family tree | | | | | | | | |!| | | | | | | | | |!| | | | | | | | | | | | |!| | }} | {{Family tree | | | | | | | | |!| | | | | | | | | |!| | | | | | | | | | | | |!| | }} | ||
{{Family tree | | | | | | | | B04 | | | | | | | | B05 | | | | | | | | | | | B06 | B04= Is the patient symptomatic?| B05= Is the patient symptomatic?| B06=Is the patient symptomatic?}} | {{Family tree | | | | | | | | B04 | | | | | | | | B05 | | | | | | | | | | | B06 | B04= <div style="float: left; text-align: left; width: 8em; padding:1em;">Is the patient symptomatic? </div>| B05= <div style="float: left; text-align: left; width: 8em; padding:1em;">Is the patient symptomatic?</div>| B06=<div style="float: left; text-align: left; width: 8em; padding:1em;">Is the patient symptomatic? </div>}} | ||
{{Family tree | | | |,|-|-|-|-|^|-|-|.| |,|-|-|-|-|^|-|-|-|-|-|-|.| | | | | |!| | | | }} | {{Family tree | | | |,|-|-|-|-|^|-|-|.| |,|-|-|-|-|^|-|-|-|-|-|-|.| | | | | |!| | | | }} | ||
{{Family tree | | | C01 | | | | | | | C02 | | | | | | | | | | | C03 | | | | C04 | | | C01= No (Stage C)| C02= Yes (Stage D)| C03= No (Stage C)| C04= Yes <br> With no other cause for the symptoms}} | {{Family tree | | | C01 | | | | | | | C02 | | | | | | | | | | | C03 | | | | C04 | | | C01= No <br> (Stage C)| C02= Yes <br> (Stage D)| C03= No <br> (Stage C)| C04= <div style="float: left; text-align: left; width: 8em; padding:1em;">Yes <br> With no other cause for the symptoms </div>}} | ||
{{Family tree | | | |!| | | | | | | | |!| | | | | | | | | | | | |!| | | | | |!| | | | }} | {{Family tree | | | |!| | | | | | | | |!| | | | | | | | | | | | |!| | | | | |!| | | | }} | ||
{{Family tree | | | D01 | | | | | | | D02 | | | | | | | | | | | D03 | | | | D04 | | | D01= <div style="float: left; text-align: left; width: 8em; padding:1em;">Does the patient have: <br> ❑ Favorable valve morphology <br> AND <br>❑ No left appendage clot <br> <br> AND <br>❑ No or mild MR </div>| D02= <div style="float: left; text-align: left; width: 8em; padding:1em;">Does the patient have: <br> ❑ Favorable valve morphology <br> <br> AND <br>❑ No left appendage clot <br><br> AND <br> ❑ No or mild MR </div>| D03= Is there a new onset of AF?| D04= Order an exercise stress test}} | {{Family tree | | | D01 | | | | | | | D02 | | | | | | | | | | | D03 | | | | D04 | | | D01= <div style="float: left; text-align: left; width: 8em; padding:1em;">Does the patient have: <br> ❑ Favorable valve morphology <br> AND <br>❑ No left appendage clot <br> <br> AND <br>❑ No or mild MR </div>| D02= <div style="float: left; text-align: left; width: 8em; padding:1em;">Does the patient have: <br> ❑ Favorable valve morphology <br> <br> AND <br>❑ No left appendage clot <br><br> AND <br> ❑ No or mild MR </div>| D03= Is there a new onset of AF?| D04= Order an exercise stress test}} | ||
Revision as of 11:46, 22 July 2014
Mitral Stenosis
Determine the severity of mitral stenosis (MS) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Very severe MS MVA ≤1 cm2 T1/2 ≥220 ms | Severe MS MVA ≤1.5 cm2 T1/2 ≥150 ms | Progressive MS MVA >1.5 cm2 T1/2 <150 ms | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Is the patient symptomatic? | Is the patient symptomatic? | Is the patient symptomatic? | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| No (Stage C) | Yes (Stage D) | No (Stage C) | Yes With no other cause for the symptoms | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Does the patient have: ❑ Favorable valve morphology AND ❑ No left appendage clot AND ❑ No or mild MR | Does the patient have: ❑ Favorable valve morphology AND ❑ No left appendage clot AND ❑ No or mild MR | Is there a new onset of AF? | Order an exercise stress test | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| No | Yes | Yes | No | Yes | No | Is PCWP> 25 mm Hg? | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Does the patient have: ❑ NYHA class III-IV symptoms AND ❑ High surgical risk | Does the patient have: ❑ Favorable valve morphology AND ❑ No left appendage clot AND ❑ No or mild MR | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| No | Yes | Yes | No | Yes | No | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Periodic monitoring | PMBC (Class IIa) | PMBC (Class I) | MVR (Class I) | PMBC (Class IIb) | Periodic monitoring | PMBC (Class IIb) | Periodic monitoring | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||