A 72-year-old patient is experiencing aortic stenosis caused by the wear and tear of the aortic valve over many years resulting in fibrosis and calcification. This stenosis impedes blood flow through the aortic valve, forcing the left ventricle to contract harder to pump blood through. Over time, the increased pressure and workload on the left ventricle causes it to hypertrophy and leads to decreased cardiac output and pulmonary congestion, presenting as dyspnea, fainting, and crackles upon exertion or inspiration.
A 72-year-old patient is experiencing aortic stenosis caused by the wear and tear of the aortic valve over many years resulting in fibrosis and calcification. This stenosis impedes blood flow through the aortic valve, forcing the left ventricle to contract harder to pump blood through. Over time, the increased pressure and workload on the left ventricle causes it to hypertrophy and leads to decreased cardiac output and pulmonary congestion, presenting as dyspnea, fainting, and crackles upon exertion or inspiration.
A 72-year-old patient is experiencing aortic stenosis caused by the wear and tear of the aortic valve over many years resulting in fibrosis and calcification. This stenosis impedes blood flow through the aortic valve, forcing the left ventricle to contract harder to pump blood through. Over time, the increased pressure and workload on the left ventricle causes it to hypertrophy and leads to decreased cardiac output and pulmonary congestion, presenting as dyspnea, fainting, and crackles upon exertion or inspiration.
disrupts valve and endothelium and underlying matrix
Fibrosis and calcification of aortic valve
Pathophysiology Irregular flow through valve during systolic contraction is audible on auscultation Risk Factors Mechanism Impedes blood flow through the aortic valve Heart has decreased cardiac output Decreased perfusion of Signs and Symptoms when doing activities brain
LV contracts harder to pump blood across the
stenotic valve Faintness on exertion dyspnea Left atrium dilates and hypertrophies form as a result of pressure overload Forceful contraction of LV overtime will cause LV myocardial hypertrophy
Cardiac output becomes more reliant on
atrial filling of LV Stiff and hypertrophied LV with LV pressure will both make the LV harder to fill (diastolic dysfunction) Bibasilar inspiratory Atrial fibrillation develops causing severe crackles decrease in cardiac output Pressure overload in the LV causing The passing through of fluids pulmonary congestion through alveolar walls into air sacs
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