Sandbox Rim: Difference between revisions

VisualWikitext

Revision as of 18:10, 17 July 2014

Abnormal aortic valve
AND
Reduction in systolic opening

Severe aortic stenosis:
V_max≥4m/s
AND
ΔP_mean≥40 mmHg

V_max3-3.9 m/s
AND
ΔP_mean20-39 mmHg

Is the patient symptomatic?

Yes
(Stage D1)

No
(Stage C)

Yes

No
(Stage B)

LVEF <50%
(Stage C2)

Is LVEF <50%?

The patient is undergoing cardiac surgery

Yes

No

V_max≥5m/s
AND
ΔP_mean≥60 mmHg
(Very severe stage C1)
AND
Low surgical risk

Dobutamine stress echocardiography:
Aortic valve area ≤1 cm²
AND
V_max≥4 ms
(Stage D2)

Dobutamine stress echocardiography:
Aortic valve area ≤1 cm²
AND
LVEF ≥50%
(Stage D3)

Abnormal exercise treadmill test

The symptoms are likely
the result of the aortic stenosis

ΔV_max>0.3 m/s/y
AND
Low surgical risk

AVR (Class I)

AVR (Class IIa)

AVR (Class IIb)

AVR (Class IIa)

@@ Line 2: / Line 2: @@
 {{Family tree | | | | | | | | | | | | A01 | | | | | | | | | | | | A01= '''Abnormal aortic valve'''<br> '''AND''' <br>'''Reduction in systolic opening'''}}
 {{Family tree | | | | | |,|-|-|-|-|-|-|^|-|-|-|-|-|.| | | | | | | }}
-{{Family tree | | | | | B01 | | | | | | | | | | | B02 | | | | | | B01= '''Severe aortic stenosis:''' <br> '''V<sub>max</sub> ≥4m/s'''<br> AND <br>'''ΔP<sub>mean</sub> ≥40 mmHg''' | B02= '''V<sub>max</sub> 3-3.9 m/s'''<br>AND <br>'''ΔP<sub>mean</sub> 20-39 mmHg''' }}
+{{Family tree | | | | | B01 | | | | | | | | | | | B02 | | | | | | B01= '''Severe aortic stenosis:''' <br> '''V<sub>max</sub>≥4m/s'''<br> AND <br>'''ΔP<sub>mean</sub>≥40 mmHg''' | B02= '''V<sub>max</sub>3-3.9 m/s'''<br>AND <br>'''ΔP<sub>mean</sub>20-39 mmHg''' }}
 {{Family tree | | | | | |!| | | | | | | | | | | | |!| | | | | | | }}
 {{Family tree | | | | | C01 | | | | | | | | | | | C02 | | | | | | C01= Is the patient symptomatic?| C02= Is the patient symptomatic?}}
@@ Line 9: / Line 9: @@
 {{Family tree |!| | | | | | | | |`|-|.| | | |!| | | | | |!| | | | }}
 {{Family tree |!| | | | | | | | | | |!| | | |!| | | | | |!| | | | }}
-{{Family tree |!|,|-|-|-|-|-|-| E01 |(| | | E02 | | | | E03 | | | E01= LVEF <50%<br> ''(Stage C2)''| E02= Is LVEF <50%?| E03= The patient is undergoing cardiac surgery}}
+{{Family tree |!|,|-|-|-|-|-|-| E01 |(| | | E02 | | | | E03 | | | E01= [[LVEF]] <50%<br> ''(Stage C2)''| E02= Is [[LVEF]] <50%?| E03= The patient is undergoing cardiac surgery}}
 {{Family tree |!|!| | | | | | | | | |!| |,|-|^|-|.| | | |!| | | }}
 {{Family tree |!|!|,|-|-|-|-|-| F01 |(| F02 | | F03 | | |!| | | | F01= The patient is undergoing cardiac surgery | F02= Yes| F03= No}}
 {{Family tree |!|!|!| | | | | | | | |!| |!| | | |!| | | |!| | | }}
-{{Family tree |!|!|!| | |,|-|-| G01 |(| G02 | | G03 | | |!| | | | G01= V<sub>max</sub> ≥5m/s<br> AND <br>ΔP<sub>mean</sub> ≥60 mmHg<br>''(Very severe stage C1)''<br> AND<br> Low surgical risk | G02= Dobutamine stress echocardiography: <br> Aortic valve area ≤1 cm<sup>2</sup> <br> AND <br> V<sub>max</sub> ≥4 ms <br> ''(Stage D2)''| G03= Dobutamine stress echocardiography: <br> Aortic valve area ≤1 cm<sup>2</sup> <br> AND <br> LVEF ≥50% <br> ''(Stage D3)''}}
+{{Family tree |!|!|!| | |,|-|-| G01 |(| G02 | | G03 | | |!| | | | G01= V<sub>max</sub>≥5m/s<br> AND <br>ΔP<sub>mean</sub>≥60 mmHg<br>''(Very severe stage C1)''<br> AND<br> Low surgical risk | G02= Dobutamine stress echocardiography: <br> Aortic valve area ≤1 cm<sup>2</sup> <br> AND <br> V<sub>max</sub>≥4 ms <br> ''(Stage D2)''| G03= Dobutamine stress echocardiography: <br> Aortic valve area ≤1 cm<sup>2</sup> <br> AND <br> [[LVEF]] ≥50% <br> ''(Stage D3)''}}
 {{Family tree |!|!|!| | |!| | | | | |!| |!| | | |!| | | |!| | | }}
-{{Family tree |!|!|!| | |!|,|-| H01 |(| |!| | | H02 | | |!| | | | H01= Abnormal exercise treadmill test | H02= The symptoms are likely the result of the aortic stenosis}}
+{{Family tree |!|!|!| | |!|,|-| H01 |(| |!| | | H02 | | |!| | | | H01= Abnormal exercise treadmill test | H02= The symptoms are likely<br> the result of the aortic stenosis}}
 {{Family tree |!|!|!| | |!|!| | | | |!| |!| | | |!| | | |!| | }}
-{{Family tree |!|!|!| | |!|!| | I01 |'| |!| | | |!| | | |!| | I01= ΔV<sub>max</sub> >0.3 m/s/y <br> AND <br> Low surgical risk }}
+{{Family tree |!|!|!| | |!|!| | I01 |'| |!| | | |!| | | |!| | I01= ΔV<sub>max</sub>>0.3 m/s/y <br> AND <br> Low surgical risk }}
 {{Family tree |!|!|!| | |!|!| | |!| | | |!| | | |!| | | |!| | }}
-{{Family tree | J01 | | J02 | | J03 | | J04 | | J05 | | J06 | J01= AVR| J02= AVR| J03= AVR| J04= AVR| J05= AVR| J06= AVR}}
+{{Family tree | J01 | | J02 | | J03 | | J04 | | J05 | | J06 | J01= [[AVR]] (Class I)| J02= [[AVR]] (Class IIa)| J03= [[AVR]] (Class IIb)| J04= [[AVR]] (Class IIa)| J05= [[AVR]] (Class IIa)| J06= [[AVR]] (Class IIa)}}
 {{Family tree/end}}

Sandbox Rim: Difference between revisions

Revision as of 18:10, 17 July 2014

Navigation menu