Podcast
Questions and Answers
What is the natural history of valvular heart disease important for determining?
What is the natural history of valvular heart disease important for determining?
- The choice between vasodilators and vasoconstrictors
- The dosage of inotropes used
- The type of surgical intervention required
- The timing of intervention (correct)
What does an acute increase in volume, like in acute aortic insufficiency, lead to?
What does an acute increase in volume, like in acute aortic insufficiency, lead to?
- Decreased left ventricular end-diastolic pressure (LVEDP)
- Decreased left ventricular end-systolic pressure (LVESP)
- Increased ventricular compliance
- Impaired ventricular relaxation (correct)
Which indices are relatively insensitive to loading conditions, making them a poor reflection of basal contractility?
Which indices are relatively insensitive to loading conditions, making them a poor reflection of basal contractility?
- Ejection Phase Indices
- Preload Reserve Indices
- Isovolumetric Indices (Vmax, dP/dT) (correct)
- End Systolic Pressure Volume Relationship (ESPVR)
What does chronic pressure overload lead to in terms of ventricular compliance?
What does chronic pressure overload lead to in terms of ventricular compliance?
Which measure provides a more precise estimate of contractility and is independent of preload?
Which measure provides a more precise estimate of contractility and is independent of preload?
What does contractility refer to in the context of valvular heart disease?
What does contractility refer to in the context of valvular heart disease?
What is a primary goal in the anesthetic management of mitral stenosis?
What is a primary goal in the anesthetic management of mitral stenosis?
All procedures are recommended for mild mitral stenosis with few or no symptoms, EXCEPT?
All procedures are recommended for mild mitral stenosis with few or no symptoms, EXCEPT?
What is a potential cause of mitral valve prolapse according to the text?
What is a potential cause of mitral valve prolapse according to the text?
What 2 factors are reduced in patients with decreased preload reserve due to mitral stenosis?
What 2 factors are reduced in patients with decreased preload reserve due to mitral stenosis?
Approximately what percentage of the population does mitral valve prolapse affect?
Approximately what percentage of the population does mitral valve prolapse affect?
What should be avoided during the anesthetic management of mitral stenosis to minimize risks?
What should be avoided during the anesthetic management of mitral stenosis to minimize risks?
Mitral valve prolapse is more common in young men than in young women.
Mitral valve prolapse is more common in young men than in young women.
Patients with mild mitral stenosis and no symptoms should undergo immediate surgical intervention.
Patients with mild mitral stenosis and no symptoms should undergo immediate surgical intervention.
In the anesthetic management of mitral stenosis, tachycardia should be avoided as it can help improve LV function.
In the anesthetic management of mitral stenosis, tachycardia should be avoided as it can help improve LV function.
Mitral stenosis leads to an increase in preload reserve, contributing to higher stroke volume.
Mitral stenosis leads to an increase in preload reserve, contributing to higher stroke volume.
Mitral stenosis leads to a decrease in preload reserve and a reduction in ______
Mitral stenosis leads to a decrease in preload reserve and a reduction in ______
Atrial fibrillation and LA distention increase the risk of ______ events
Atrial fibrillation and LA distention increase the risk of ______ events
What is a common complication that approximately 1/3 of patients with severe mitral valve disease develop?
What is a common complication that approximately 1/3 of patients with severe mitral valve disease develop?
Which procedure is NOT recommended for patients with mild mitral stenosis and few or no symptoms?
Which procedure is NOT recommended for patients with mild mitral stenosis and few or no symptoms?
What is the primary concern regarding sedation in the anesthetic management of mitral stenosis?
What is the primary concern regarding sedation in the anesthetic management of mitral stenosis?
What is a possible etiology associated with mitral valve prolapse according to the text?
What is a possible etiology associated with mitral valve prolapse according to the text?
In the anesthetic management of mitral stenosis, which type of induction is generally acceptable except for one specific agent?
In the anesthetic management of mitral stenosis, which type of induction is generally acceptable except for one specific agent?
What is the purpose of understanding the natural history of valvular heart disease?
What is the purpose of understanding the natural history of valvular heart disease?
How does mitral stenosis affect preload reserve and stroke volume?
How does mitral stenosis affect preload reserve and stroke volume?
In patients with chronic pressure overload, what relationship is observed between hypertrophy and compliance?
In patients with chronic pressure overload, what relationship is observed between hypertrophy and compliance?
Which phase of cardiac function indices are unreliable in most valvular diseases?
Which phase of cardiac function indices are unreliable in most valvular diseases?
What does contractility refer to in the context of valvular heart disease?
What does contractility refer to in the context of valvular heart disease?
Which measure provides a more precise estimate of contractility and is independent of preload?
Which measure provides a more precise estimate of contractility and is independent of preload?
What effect does an acute increase in volume, such as in acute aortic insufficiency, have on left ventricular end-diastolic pressure (LVEDP)?
What effect does an acute increase in volume, such as in acute aortic insufficiency, have on left ventricular end-diastolic pressure (LVEDP)?
