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VALVULAR HEART DISEASE WITHOUT THE HEARTACHE │ EP119

12 de outubro de 2026 · 25 min

Notas do episódio

Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.

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Valvular heart disease feels like a memorization topic, but the table of arrows in every review book isn't random. In Week 2 of our 12-week SEE/NCE series, we show you how two questions (pressure or volume problem, systole or diastole) let you rebuild the hemodynamic goals for every valve lesion in the middle of your exam.

In this episode:

  • The shortcut: stenosis is full, slow and tight; regurgitation is full, fast and forward
  • Aortic stenosis: severe AS numbers, the atrial kick, why phenylephrine is the go-to and why CPR rarely works
  • Aortic regurgitation: acute vs chronic, why neuraxial is well tolerated, and the balloon pump contraindication
  • Mitral stenosis: protecting the right heart, avoiding PVR triggers, and why wedge pressure overestimates LVEDP
  • Mitral regurgitation: the large v wave and why phenylephrine can worsen the leak
  • A rapid-fire board review of every lesion, plus how to handle mixed valve disease

💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.


💜 CONNECT: 📥 Email questions, comments or topic suggestions to Rhea or Sachi at [email protected], follow us on social media, and sign up for our newsletter.

Mentioned in this episode:

💜 PARTNERS: The Incomologists®

https://theincomologists.com/ You work hard caring for others—let us take care of you. Whether you’re a W-2 employee or transitioning to a 1099 role, we understand the unique challenges healthcare professionals face, from insurance coverage to financial planning. That’s where we step in. Like you, we are a team of healthcare providers who understand your needs and help you find tailored insurance plans and financial strategies without the hassle or pressure. And we’re a partner you can rely on, today and in the future. We evaluate all available options and resources in the market to protect our clients, so contact us, and we’ll get started! - Jake Bevilacqua, CRNA ([email protected])

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