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Cardiology
Basic IM cardiology Concepts
20
Medical
Post-Graduate
09/10/2009

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Cards

Term
Treatment for Unstable Angina
Definition
Antithrombotics: Heparin, or LMWH and/or Plavix
Term
Which coronary artery is most likely stenosed in a pt. with ASx 1st degree AV block?
Definition
Right Coronary supplies the SA node in 90% of people. If pt had Sx, LAD is more likely.
Term
Diffuse ST elevation, pain that worsens sitting forward and is not relieved by NTG most likely describes:
Definition
Pericarditis
Term
Prinzmetal is best diagnosed and treated by.
Definition
Angiography demonstrating spasms and CCB's and/or nitrates.
Term
Patient returns a few weeks post MI with c/o low grade fever and pleuritic CP. Lungs are clear, there is no SOB or ECG changes. Best Tx is?
Definition
Anti-inflammatories for Dressler's syndrome aka post MI autoimmune pleuritis/pneumonitis/pericarditis
Term
Name the major Framingham criteria for CHF.
Definition
PND, JVD, rales, cardiomegaly, Pulmonary Edema, S3, Increased CVP, and hepatojugular reflex. Note these are all CENTRAL (Lungs, heart, neck veins)
Term
Name the minor Framingham criteria for CHF.
Definition
Edema, night cough, DOE, Pleural Effusion, hepatomegaly, tachycardia >120
Term
In patients with LV dysfunction HF (ie low EF) name the medicines that are recommended.
Definition
ACE or ARB (hydralazine if intolerant) and BB
Term
When would you use digoxin in HF?
Definition
Pts with clear cut systolic dysfunction or Aflutter or Afib w/ RVR
Term
What drug cannot be used in post/peri-partum systolic dysfunction cardiomyopathy.
Definition
ACEI are CI in pregnancy.
Term
What is the Aortic stenosis triad and descrbe the typical murmur of AoS
Definition
DOE, Angina, Syncope. Crescendo/decrescendo murmur, sternal border, radiates to carotids
Term
Pt presenting with DOE, palpitations, occasional hemoptysis might have what kind of murmur and problem.
Definition
Opening snap with diastolic rumble. Mitral Stenosis. Check for Rh Fv Hx
Term
The murmur of VSD can best be described as
Definition
holosystolic @ midleft sternal border
Term
A continuous murmur at upper left sternal border describes.
Definition
PDA
Term
About what % of adults have detectable PVCs on 24hour monitoring
Definition
60%
Term
Occasional unifocal PVC's and PAC's need no TX. When would you treat PVC's/PAC's and how?
Definition
Use a BB when they interfere with ADL
Term
What are the CHADS criteria
Definition
CHF - HTN - Age - DM - Stroke/TIA hx::0=ASA - 1=ASA/Warf - 2+=Warf INR 2-3 or 3.5 if prosthetic valve
Term
[image]
Definition
SVT
Term
Name some drugs that can CAUSE second degree (type I) heart block.
Definition
CCB, BB, Digoxin
Term
What is the most common EKG change seen with abberations of sodium (hypo and hyper)
Definition
None. At Sodium levels compatible with life, no EKG changes usually occur.
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