ACCsap Flashcards
Chylous pericardial effusion after surgery
Try diet with medium chain triglycerides
Most common cardiac mass?
Malignant metastasis
Factor V Leiden
Causes activated protein c resistance and is autosomal dominant. Low lifetime risk of DVT.
Contraindicated with dofetilide
Hctz, increases dofetilide concentration
Avoid these medications with ticagrelor
Rifampin Phenytoin Carbamazepine Phenobarbital Dexamethasone
Contraindications to treadmill stress
Preexcitation
LBBB
paced ventricular rhythm
>1 mm st depressions
Symptomatic mesenteric ischemia meds
Needs statin regardless of LDL
Does not need warfarin or DOAC
Rf ablation vs cryoablation
RF more permanent but higher risk of permanent heart block
Coronary anolomy associated with TOF
Lad off rca or right sinus
Vorapaxar
Inhibits PAR-1, thrombin receptor on plt.
Increased risk of intracranial hemorrhage, contraindicated in stroke or TIA.
Serve-HF
Harm associated with adaptive servoventilation in patients with heart failure and central sleep apnea
Best to optimize HF therapy to treat Cheyne stokes respirations
Carney complex
Nevi
Other tumors
Endocrinopathies
Myxomas
Cardiac fibroma
More common in kids
Arrthymia medically refractory
Nevoid basal cell carcinoma syndrome
Cardiac fibromas
Bifid ribs
Rhabdomyoma
Tuberous sclerosis
Side effect of VEGF inhibitors like bevacizumab
Hypertension
Preferred tx is ace-I or dihydropyridine CCB
Chronic HTN in pregnancy
Goal is same, less than 140/90
Waveform in constriction vs tamponade
Steep y descent- constriction
Rapid early filling
Blunted y descent - tamponade
No early diastolic filling