Aortic stenosis

incomplete-TODO: management strategies / red flags

pathogenesis

  • LV needs to generate more force to overcome the narrow valve
  • → LV failure
  • ↓ LV end diastolic pressure = ↓ coronary perfusion pressure
  • critical AS → pulmonary hypertension

managing the sick AS patient

  • avoid AF
  • keep well-filled
  • preserve contractility - avoid beta blockers, CCBs