Sandbox Rim: Difference between revisions
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{{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 (Stage C)| C02= Yes (Stage D)| C03= No (Stage C)| C04= Yes <br> With no other cause for the symptoms}} | ||
{{Family tree | | | |!| | | | | | | | |!| | | | | | | | | | | | |!| | | | | |!| | | | }} | {{Family tree | | | |!| | | | | | | | |!| | | | | | | | | | | | |!| | | | | |!| | | | }} | ||
{{Family tree | | | D01 | | | | | | | D02 | | | | | | | | | | | D03 | | | | D04 | | | D01= | {{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 | |,|-|^|-|.| | | |,|-|-|^|-|-|.| | | | | | | |,|-|^|-|.| | | |!| | | | }} | {{Family tree | |,|-|^|-|.| | | |,|-|-|^|-|-|.| | | | | | | |,|-|^|-|.| | | |!| | | | }} | ||
{{Family tree | E01 | | E02 | | E03 | | | | E04 | | | | | | E05 | | E06 | | E07 | | | E01= | E02= | E03= | E04= | E05= | E06= | E07= }} | {{Family tree | E01 | | E02 | | E03 | | | | E04 | | | | | | E05 | | E06 | | E07 | | | E01= No| E02= Yes| E03= Yes| E04= No| E05= Yes| E06= No| E07= Is PCWP> 25 mm Hg?}} | ||
{{Family tree | |!| | | |!| | | |!| | | | | |!| | | | | | | | | | | |!| |,|-|^|-|.| | }} | {{Family tree | |!| | | |!| | | |!| | | | | |!| | | | | | | | | | | |!| |,|-|^|-|.| | }} | ||
{{Family tree | |!| | | |!| | | |!| | | | | F01 | | | | | | F02 | | |!| F03 | | F04 | F01= | F02= | F03= | F04= }} | {{Family tree | |!| | | |!| | | |!| | | | | F01 | | | | | | F02 | | |!| F03 | | F04 | F01= <div style="float: left; text-align: left; width: 8em; padding:1em;">Does the patient have: <br> ❑ NYHA class III-IV symptoms <br> AND <br> ❑ High surgical risk </div>| F02= <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>| F03= Yes| F04= No}} | ||
{{Family tree | |!| | | |!| | | |!| | | |,|-|^|-|.| | | |,|-|^|-|.| |!| |!| | | |!| | }} | {{Family tree | |!| | | |!| | | |!| | | |,|-|^|-|.| | | |,|-|^|-|.| |!| |!| | | |!| | }} | ||
{{Family tree | |!| | | |!| | | |!| | | G01 | | G02 | | G03 | | G04 |!| |!| | | |!| | G01= | G02= | G03= | G04= }} | {{Family tree | |!| | | |!| | | |!| | | G01 | | G02 | | G03 | | G04 |!| |!| | | |!| | G01= No| G02= Yes| G03= Yes| G04= No}} | ||
{{Family tree | |!| | | |!| | | |!| | | |!| | | | |!| |!| | | | |!| |!| |!| | | |!| | }} | {{Family tree | |!| | | |!| | | |!| | | |!| | | | |!| |!| | | | |!| |!| |!| | | |!| | }} | ||
{{Family tree | H01 | | H02 | | H03 | | H04 | | | | H05 | | | | | H06 | | H07 | | H08 | H01= | H02= | H03= | H04= | H05= | H06= | H07= | H08= }} | {{Family tree | H01 | | H02 | | H03 | | H04 | | | | H05 | | | | | H06 | | H07 | | H08 | H01= | H02= | H03= | H04= | H05= | H06= | H07= | H08= }} | ||
{{Familytree/end}} | {{Familytree/end}} | ||
Revision as of 11:39, 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 | Yes | No | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| No | Yes | Yes | No | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||