A patient with valvular heart disease comes to the emergency department with complaints of syncope and dyspnea on exertion. The nurse suspects:

Aortic stenosis.

Explanation

• Aortic stenosis refers to the narrowing of the aortic valve. This causes reduced cardiac output and increased left ventricle pressure

• With exertion, the heart cannot increase cardiac output because of a narrow aortic valve. This can cause syncope due to insufficient perfusion to the brain when it needs the extra oxygen. Syncope is a hallmark sign of aortic stenosis

• Incorrect: Aortic regurgitation, mitral stenosis, and mitral regurgitation do not cause syncope

Visit our website for other NCLEX topics now!