Aortic regurg, made by echo.
What are going
to find? Regurgitant volume. What does echo mean? Ultrasound.
So you are going to find regurgitative flow
backwards to the left ventricle. What do
you want to do here? You want to make sure
that you replace that valve before you start
hearing Austin Flint and before you start get into
serious congestive heart failure.
Dietary modifications why? If your patient
already has increased volume, why not cut down
the salt so that you can then not have retention
of fluid as much. Afterload reduction can
be done with ACE inhibitors,
as you can imagine, why please? A simple pharmacology
question, what part of ACE inhibition will then cause
diminishment of your afterload? Well aldosterone
has nothing to do with this, aldosterone is taking
care of the fluid. Angiotensin II, normally causes
Remove the angiotensin II, you decrese the afterload.