Pre PACES Podcast

#3 Aortic Stenosis

18 snips
Feb 28, 2021
Dr. Stephen Dorman, a consultant interventional cardiologist and TAVI lead at the Bristol Heart Institute, dives deep into aortic stenosis and its clinical nuances. He explains the telltale murmur sounds, palpation clues, and common signs of decompensation. The discussion covers the relationship between aortic stenosis and anemia, distinguishing it from aortic sclerosis, and the critical decision factors for TAVI versus surgical replacement. Plus, don’t miss the fun rapid-fire quiz on windsurf foils where Dr. Dorman reveals his expertise outside medicine!
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INSIGHT

TAVI Is Now Central To Aortic Stenosis Care

  • TAVI has rapidly expanded and now dominates many interventional cardiologists' workload.
  • Dr Stephen Dorman estimates about 70% of his practice is aortic stenosis and TAVI work.
ANECDOTE

Consultant Picks Windsurf Foils As Hobby Niche

  • Dr Stephen Dorman chose windsurfing foils as his non-medical specialist topic for the show's quiz feature.
  • He admitted having little social life but enjoyed researching foils for the segment.
ADVICE

Use Murmur And Pulse To Suspect AS

  • Listen for a crescendo-decrescendo (whoosh-whoosh) systolic murmur with late peaking to suspect severe AS.
  • Check the pulse for a slow, late-rising character to increase your suspicion of aortic stenosis.
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