Term
|
Definition
| Procainamide, amiodarone, cardioversion |
|
|
Term
| Cause of descending aortic aneurysms |
|
Definition
|
|
Term
| What does/does not improve survival CHF |
|
Definition
Does: ACE-I, ARBs, BB, Aspirin, spironolactone
Doesn't: Digoxin and loops |
|
|
Term
| Most common cause of secondary hypertension |
|
Definition
| Renal artery stenosis. Continuous periumbilical murmur |
|
|
Term
| What medication for stable angina and HTN? |
|
Definition
|
|
Term
| Leg pain w/walking. Dx and treatment. |
|
Definition
Ankle brachial index. <0.9 is highly sensitive.
Aspirin and cilostazol once diagnosis is made. |
|
|
Term
|
Definition
| antiplatelet agent. Used during myocardial perfusion scanning to reveal aareas restricted perfusion. |
|
|
Term
|
Definition
Vagal maneuvers Adenosine
HDUS: Cardiovert |
|
|
Term
| Xray with water bottle shaped cardiac silhouette. Diminished heart sounds, difficulty palpating maximal impulse. |
|
Definition
|
|
Term
|
Definition
Not unless they're symptomatic. If so, BB.
Giving lidocaine will increase risk asystole |
|
|
Term
| Irregular irregular rhythm, loss P wave |
|
Definition
| Atrial fib. No atrial kick. Cause by left atrial dilatation due to mitral stenosis |
|
|
Term
| Holosystolic murmur radiates to axilla |
|
Definition
Mitral regurgitation, usually caused by Mitral valve prolapse. Can lead to left atrial dilation and atrial fib.
Squatting decreases the murmur (increases cardiac preload) |
|
|
Term
| What does digoxin toxicty cause? |
|
Definition
| Increased ectopy, increased vagal tone. Atrial tachycardia with AV block. |
|
|
Term
| Shockable (defib) rhythms? |
|
Definition
VF/VT
Afib not shockable, only cardiovert |
|
|
Term
| Constrictive pericarditis causes |
|
Definition
|
|
Term
|
Definition
| Thyroid dysfunction, pulm fibrosis, hepatotox, |
|
|
Term
| What does inspiration due to systolic murmurs on right and left sides of the heart |
|
Definition
Right: Increase murmur (increased venous return)
Left: Decrease murmur (decreased preload) |
|
|
Term
| Inheritance pattern hyperthrophic cardiomyopathy? |
|
Definition
|
|
Term
| First step aortic dissection |
|
Definition
|
|
Term
| What does hemachromatosis do to the heart? |
|
Definition
| Conduction blocks. Reversible. |
|
|
Term
Prevent/control Htn?
Prevent/control AAA? |
|
Definition
- Lose weight if obese, eat fruit and vegetables if not obese
AAA: Quit smoking |
|
|
Term
|
Definition
|
|
Term
| Young healthy patient with CHF? |
|
Definition
| Myocarditis. Usually viral infection with Coxsackie B. pnd, dyspnea, peripheral edema, hepatomegaly, cardiomegaly, S3. |
|
|
Term
| What is PCOS associated with |
|
Definition
|
|
Term
| What causes syncope in HOCM? |
|
Definition
Crescendo-decresendo murmur @ LLSB, Due to interventricular septal hypertrophy.
There's also an abnormal systolic anterior motion of the mitral valve, worse with valsalva due to decreased preload and decreaed filling left ventricle (opposite of other murmurs) |
|
|
Term
| Best indicator of dehydration? |
|
Definition
| BUN/Cr, although not very specific |
|
|
Term
| Persistant ST elevations, late complication MI. Pt may have CHF, ventricular arrhythmias, thrombus formation |
|
Definition
| Ventricular aneurysm. Confirm with echo |
|
|
Term
| Lone afib w/o risk factors for stroke. What antithrombotic therapy? |
|
Definition
Only aspirin. CHADS2 = 0 here
CHF
HTN
Age >75
DM
Prior stroke |
|
|
Term
| PNF or pulmonary edema, best treatment? |
|
Definition
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