Symptoms/Diagnosis/Treatment - NACNS
Structural Heart: Valvular disease
Symptoms/Diagnosis/Treatment
Stacie Hanes, APRN-CNS, CCRN, CCRC
Oklahoma Heart Hospital Valve Clinic Manager
shanes@
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DISCLOSURES
This nursing continuing professional development activity was approved by Montana Nurses Association, an
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There is no conflict of interest for anyone with the ability to control content of this activity .
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The CNS Role as an Entrepreneur and Consultant
Heart tones/Murmurs
How to accentuate murmurs
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Increase afterload: hand grip
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Increase
AI, MR, VSD
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Decrease
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HOCM
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MVP
Increase preload: squatting
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Increase
AS, MS, AI, MR
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Decrease Preload: Valsalva maneuver, stand quickly
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Decrease
AS, MS, AI, MR, VSD, TR
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Increase
HOCM, MVP
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Special Maneuvers: Left lateral decubitus- accentuate mitral murmurs
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MS, MR
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S3/S4 accentuate
Special Maneuvers: sitting up/lean forward- accentuate Aortic murmurs
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AS, AI
Inspiration: Increase tricuspid murmurs
Aortic Valve
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Trileaflet valve
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Between the LV and Aorta
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1% of the population will have bicuspid AV
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May be true two leaflet AV
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May be three leaflets w/fused leaflets
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May develop aortic aneurysm, early failure of AV
Other malformations can be unicuspid and Quadricuspid
(Braverman, 2019)
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