tess
Forum Guru
Topics: 131
Posts: 368
|
If signs (Include a diastolic rumble on a routine examination and others are normal, pt is healthy and exercise 20-30 minutes everyday) and Echo shows that patient has a non-calcified mitral valve with mild stenosis and wants to become pregnant, what is the most appropriate advice you could give to this patient?
a. Allow her to become pregnant provided she starts beta-blockers
b. Tell her that she needs mitral valve balloon valvotomy before she becomes pregnant
c. Tell her that she requires mitral valve replacement
d. Tell her that pregnancy is very risky and contraindicated
e. Perform an exercise stress test to assess the risk
|
| asmi
Forum Hero
Topics: 1043
Posts: 4,609
|
i think she needs treatment(surgery) before she can think about pregnancy.Since she has murmur(MDM)...no other symptoms..class I(NYHA)
|
| daira
Forum Senior
Topics: 29
Posts: 138
|
d. Tell her that pregnancy is very risky and contraindicated
___________________
Roz barhta hoon jahan se aagey
lout kar phir waheen aa jata hoon
baaraha tor chuka hoon jinko
phir unhin dewaroon se takrata hoon...
|
| onenightdRŽ
Forum Junior
Topics: 11
Posts: 47
|
b.
|
| anne
Forum Elite
Topics: 41
Posts: 348
|
i go for E
|
| tess
Forum Guru
Topics: 131
Posts: 368
|
This is a question from UW, qs there are little bit hard, I didn't get this right either. The answer is a.
At this condition, pt can tolerate pregnancy; but palpitation often occurs, so use beta-blockers to prevent it.
Thanks guys!
|
| BellKicker
Forum Junior
Topics: 3
Posts: 49
|
Jeez, that was the one I was sure was wrong.......... 
___________________
Gotta have heart.
|
| usmledoctor1
Forum Junior
Topics: 4
Posts: 77
|
a is right. the risk is not as much u guys thought plus they have offered the beta blocker along with. eisenmenger carries most risk
___________________
usmledoctor2@yahoo.com message me on my yahoo messenger anytime.
|
| cerebral cortex
Forum Junior
Topics: 2
Posts: 60
|
AS & MS require valvuloplasty if symptomatic
|
|
| |
| | | | | | | | | |
