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LV AO
PCWP
LV
Question 6
The following hemodynamic tracing indicates which valvular
disorder:
A. Aortic stenosis
B. Aortic insufficiency
C. Mitral stenosis
D. Mitral regurgitation
E. Tricuspid regurgitation
PCWP
LV
Mitral Stenosis
Simultaneous measurement of PCWP and
LV pressures (R and LHC)
Remember that PCWP estimates LA
pressure so this technique measures the
gradient between the LV and LA indirectly.
Question 7
A 57 year old male presents to the ED with 2
month histrory of increasing abdominal
distension. Upon further questioning, he has
been experiencing increasing dyspnea on
exertion, pedal edema and exertional chest pain
for the last 4 or 5 months.
PMH: MI 2 years ago complicated by Dresslers
syndrome, DM, HTN, Hyperlipidemia, CRI
PSH: CABG x 3 vessles, 2 years ago.
SH: Nonsmoker, no Etoh, no drugs
FH: Father, Brother w/CAD & MI
Question 7
Physical Exam:
VS: BP 108/62, 110, 22
HEENT: NCAT, JVD elevated
Chest: Occasional crackles at bases
Cardiac: Regular, mildly tachycardic, Knock heard just after
S2 along the L sternal border
Abdomen: distended w/fluid wave
Extremeties: 3-4 mm pitting edema to pretibial region
LV
RA
LV
RA