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13 Cards in this Set
- Front
- Back
Aortic wall stress determinants |
Velocity of aortic wall contraction Rate of aortic wall contraction BP |
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+ MI |
Thrombolysis C/I Angio +- PCI not recommended Do CABG |
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Shock reason |
Rupture and temponade Pericardiocentesis not recommended Norepinephrine and phenylephrine |
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Hemodynamic |
Bp 100-120 HR<60 MAP>70 mmhg |
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Instead trial |
No difference in all cause mortality in type B dissection patients treated with TEVAR vs medical management |
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Indications of TEVAR in type B |
Rupture Impending rupture D>55mm Rate of increase>10mm/y Malperfusion symdrome Recurrent pain |
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Risk factor for late aneurym formation |
HTN Aortic dilation Entry tear>10mm Non resection of false lumen False lumen>22mm False lumen thrombosis |
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Aortic root |
Partially dissected~ AVR with root sparing Extensive dissection~ composite graft with root or valve sparing root replacement |
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Indication for screening |
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Indication for repair |
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Recommendation in pregnancy |
>45mm C section 40-45mm SVD is 2a 40-45mm C-section is 2b <40mm SVD +marfan do replacement in >40mm |
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Marfan surgical aorta repair |
>50mm 46-50mm in Family history of dissection AR, MR, Desire of pregnancy >2mm/year |
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Leriche syndrome |
Aortic occlusive disease Impotence, claudication amd absent femoral pulses. |