Q:

The patient in the previous question with AI progresses to profound heart failure requiring medical management. The following is/are true:

waelhammad
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2022-12-10
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The patient in the previous question with AI progresses to profound heart failure requiring medical management. The following is/are true:

  1. Perperal vasdilators are contraindicated
  2. The inta-aortic balloon pump can be used to improve cardiac output
  3. Furosemide and nitroglycerin would be appropriate
  4. Valve replacement is necessary
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waelhammad
2022-12-10
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c. Furosemide and nitroglycerin would be appropriate

d. Valve replacement is necessary

Peripheral vasodilators are key to the treatment of AI favoring peripheral blood flow. The intraaortic pump is contraindicated because diastolic augmentation worsens aortic regurgitation. Both furosemide and nitroglycerin would be of value to treat the failure, but the most effective treatment requires replacement of the valve. 

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