Sandbox Rim: Difference between revisions
Jump to navigation
Jump to search
Rim Halaby (talk | contribs) |
Rim Halaby (talk | contribs) |
||
| Line 10: | Line 10: | ||
{{Family tree | | | | | | | B03 | | | | | | | | | | | | | | | | | | |!| | B03= Is the patient symptomatic?}} | {{Family tree | | | | | | | B03 | | | | | | | | | | | | | | | | | | |!| | B03= Is the patient symptomatic?}} | ||
{{Family tree | |,|-|-|-|-|-|^|-|-|-|-|-|.| | | | | | | | | | | | | |!| | }} | {{Family tree | |,|-|-|-|-|-|^|-|-|-|-|-|.| | | | | | | | | | | | | |!| | }} | ||
{{Family tree | C01 | | | | | | | | | | C02 | | | | | | | | | | | | C03 | | |C01= Yes <br> (Stage D)| C02=No <br> (Stage C)| C03= Is the patient undergoing another surgery?}} | {{Family tree | C01 | | | | | | | | | | C02 | | | | | | | | | | | | C03 | | |C01= Yes <br> (Stage D)| C02=No <br> (Stage C)| C03= Is the patient undergoing<br> another surgery?}} | ||
{{Family tree | |!| | | |,|-|-|-|-|-|-|-|+|-|-|-|-|-|-|-|.| | | |,|-|^|-|.| | }} | {{Family tree | |!| | | |,|-|-|-|-|-|-|-|+|-|-|-|-|-|-|-|.| | | |,|-|^|-|.| | }} | ||
{{Family tree | |!| | | D01 | | D02 | | D03 | | D04 | | D05 | | D06 | | D07 | D01= LVEF<50% <br> (Stage C2)|D02=The patient is undergoing another surgery| D03= LVEF | {{Family tree | |!| | | D01 | | D02 | | D03 | | D04 | | D05 | | D06 | | D07 | D01= LVEF<50% <br> (Stage C2)|D02=The patient is undergoing another surgery| D03= LVEF ≥ 50% <br> LVESD > 50mm (Stage C2)| D04= LVEF ≥ 50% <br> LVEDD > 65mm <br> Low surgical risk| D05= LVEF ≥ 50% <br> LVESD ≤ 50mm <br> LVEDD ≤ 65mm| D06= No| D07= Yes}} | ||
{{Family tree | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | }} | {{Family tree | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | }} | ||
{{Family tree | E01 | | E02 | | E03 | | E04 | | E05 | | E06 | | E07 | | E08 | E01= AVR ([[ACC AHA guidelines classification scheme|Class I]])| E02= AVR ([[ACC AHA guidelines classification scheme|Class I]])| E03= AVR ([[ACC AHA guidelines classification scheme|Class I]])| E04= AVR ([[ACC AHA guidelines classification scheme|Class IIa]])| E05= AVR ([[ACC AHA guidelines classification scheme|Class IIb]])| E06= Monitor the patient periodically| E07= Monitor the patient periodically| E08= AVR ([[ACC AHA guidelines classification scheme|Class IIa]])}} | {{Family tree | E01 | | E02 | | E03 | | E04 | | E05 | | E06 | | E07 | | E08 | E01= AVR ([[ACC AHA guidelines classification scheme|Class I]])| E02= AVR ([[ACC AHA guidelines classification scheme|Class I]])| E03= AVR ([[ACC AHA guidelines classification scheme|Class I]])| E04= AVR ([[ACC AHA guidelines classification scheme|Class IIa]])| E05= AVR ([[ACC AHA guidelines classification scheme|Class IIb]])| E06= Monitor the patient periodically| E07= Monitor the patient periodically| E08= AVR ([[ACC AHA guidelines classification scheme|Class IIa]])}} | ||
{{Family tree/end}} | {{Family tree/end}} | ||
Revision as of 03:03, 21 July 2014
Indications for Aortic Valve Replacement
Shown below is an algorithm depicting the indications for aortic valve replacement (AVR) in chronic aortic regurgitation.
| What is the severity of the aortic regurgitation? | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Severe regurgitation ❑ Vena contracta >0.6 cm ❑ Jet/LVOT ≥ 65% ❑ Regurgitant volume ≥60 mL/beat ❑ Regurgitant fraction ≥50% ❑ Effective regurgitant orifice ≥ 0.30 cm² ❑ Holodiastolic flow reversal in the proximal abdominal aorta | Progressive regurgitation (Stage B) Mild ❑ Vena contracta <0.3 cm ❑ Jet/LVOT <25% ❑ Regurgitant volume <30 mL/beat ❑ Regurgitant fraction <30% ❑ Effective regurgitant orifice <0.10 cm² | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Is the patient symptomatic? | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Yes (Stage D) | No (Stage C) | Is the patient undergoing another surgery? | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| LVEF<50% (Stage C2) | The patient is undergoing another surgery | LVEF ≥ 50% LVESD > 50mm (Stage C2) | LVEF ≥ 50% LVEDD > 65mm Low surgical risk | LVEF ≥ 50% LVESD ≤ 50mm LVEDD ≤ 65mm | No | Yes | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| AVR (Class I) | AVR (Class I) | AVR (Class I) | AVR (Class IIa) | AVR (Class IIb) | Monitor the patient periodically | Monitor the patient periodically | AVR (Class IIa) | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||