Easy One.... - vanco

[ArchivalUser]

GOOD TO SEE OLD FRIENDS TOGETHER

[ArchivalUser]

Answer:

© Nifedipine

Explanation:

This patient has aortic valve insufficiency (AI). She has a decrescendo diastolic murmur and a wide pulse pressure. The most likely cause of aortic insufficiency in this case is a congenital bicuspid aortic valve. The coexistence of aortic stenosis and AI is almost always from rheumatic fever or congenital disease. The first step is an echocardiogram to confirm the diagnosis, establish the cause of valve disease, and evaluate the ventricular size and systolic function. Some patients with chronic aortic regurgitation have irreversible left ventricular (LV) systolic dysfunction before the onset of symptoms.

If an echocardiogram reveals LV dilatation in patients with aortic valve insufficiency, afterload reduction therapy should be started with ACE inhibitors or nifedipine. Nifedipine can help delay the progression of the disease and delay the need for surgical valve replacement. Beta-blockers have not been found to be useful in AI. They may increase the severity of regurgitation by prolonging diastole. Valve replacement is not definitely necessary because she is not symptomatic. Valve replacement can be useful in asymptomatic patients if the patient has progressive LV dysfunction with an ejection fraction of

[ArchivalUser]

oh i answered not only wrong but extremely wrong.that was aneasy one