Sandbox Rim: Difference between revisions

VisualWikitext

Revision as of 22:32, 20 July 2014

Indications for Aortic Valve Replacement

Shown below is an algorithm depicting the indications for aortic valve replacement (AVR) in aortic regurgitation.

{{{ A01 }}}

{{{ B01 }}}

{{{ B02 }}}

{{{ }}}

{{{ C01 }}}

{{{ C02 }}}

{{{ C03 }}}

{{{ }}}

{{{ D01 }}}

{{{ D02 }}}

{{{ D03 }}}

{{{ D04 }}}

{{{ D05 }}}

{{{ D06 }}}

{{{ D07 }}}

{{{ E01 }}}

{{{ E02 }}}

{{{ E03 }}}

{{{ E04 }}}

{{{ E05 }}}

{{{ E06 }}}

{{{ E07 }}}

{{{ E08 }}}

@@ Line 1: / Line 1: @@
 ===Indications for Aortic Valve Replacement===
-'''Shown below is an algorithm depicting the indications for [[aortic valve replacement]] (AVR).  If the patient does not meet any of the decision pathways in the algorithm, regular monitoring is recommended and AVR is not indicated.'''
+Shown below is an algorithm depicting the indications for [[aortic valve replacement]] (AVR) in aortic regurgitation.
 {{Familytree/start}}
-{{Family tree | | | | | | | | | | | | A01 | | | | | | | | | | | | A01= '''Abnormal aortic valve'''<br> '''AND''' <br>'''Reduction in systolic opening'''}}
+{{Family tree | | | | | | | | | | | | | | | A01 | | | | | | | | | | | | }}
-{{Family tree | | | | | |,|-|-|-|-|-|-|^|-|-|-|-|-|.| | | | | | | }}
+{{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 |  }}
-{{Family tree | | | | | |!| | | | | | | | | | | | |!| | | | | | | }}
+{{Family tree | |,|-|-|-|-|-|^|-|-|-|-|-|.| | | | | | | | | | | | | |!| | }}
-{{Family tree | | | | | C01 | | | | | | | | | | | C02 | | | | | | C01= Is the patient symptomatic?| C02= Is the patient symptomatic?}}
+{{Family tree | C01 | | | | | | | | | | C02 | | | | | | | | | | | | C03 | | |  }}
-{{Family tree |,|-|-|-|-|^|-|-|-|.| | | | | |,|-|-|^|-|-|.| | | | }}
+{{Family tree | |!| | | |,|-|-|-|-|-|-|-|+|-|-|-|-|-|-|-|.| | | |,|-|^|-|.| | }}
-{{Family tree | D01 | | | | | | D02 | | | | D03 | | | | D04 | | | D01= Yes<br> ''(Stage D1)''| D02= No <br> ''(Stage C)''| D03= Yes| D04= No<br> ''(Stage B)''}}
+{{Family tree | |!| | | D01 | | D02 | | D03 | | D04 | | D05 | | D06 | | D07 | }}
-{{Family tree |!| | | | | | | | |`|-|.| | | |!| | | | | |!| | | | }}
+{{Family tree | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | }}
-{{Family tree |!| | | | | | | | | | |!| | | |!| | | | | |!| | | | }}
+{{Family tree | E01 | | E02 | | E03 | | E04 | | E05 | | E06 | | E07 | | E08 | }}
-{{Family tree |!|,|-|-|-|-|-|-| E01 |(| | | E02 | | | | E03 | | | E01= [[LVEF]] <50%<br> ''(Stage C2)''| E02= Is [[LVEF]] <50%?| E03= The patient is undergoing<br> another cardiac surgery}}
-{{Family tree |!|!| | | | | | | | | |!| |,|-|^|-|.| | | |!| | | }}
-{{Family tree |!|!|,|-|-|-|-|-| F01 |(| F02 | | F03 | | |!| | | | F01= The patient is undergoing <br>another 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= 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<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 |!|!|!| | |!|!| | |!| | | |!| | | |!| | | |!| | }}
-{{Family tree | J01 | | J02 | | J03 | | J04 | | J05 | | J06 | J01= [[AVR]] ([[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]])| J02= [[AVR]] ([[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIa]])| J03= [[AVR]] ([[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIb]])| J04= [[AVR]] ([[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIa]])| J05= [[AVR]] ([[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIa]])| J06= [[AVR]] ([[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIa]])}}
 {{Family tree/end}}
-===Management of Hypertension===
-Patients with aortic stenosis who are either in stage A, stage B, or stage C should be treated for hypertension (Class I; level of evidence B).

Sandbox Rim: Difference between revisions

Revision as of 22:32, 20 July 2014

Indications for Aortic Valve Replacement

Navigation menu