ACS

Question 1

What are absolute and relative contraindications for emergent Cardiac Catheterization

Answer 1

Absolute: None
Relative:
i.eCCF
ii.Acute renal failure with no plans for dialysis
iii.Bacteremia
iv.Stroke
v.GI bleeding
Vi. Anticoagulation + anti-lytics medications
vii. Electrolyte disturbance
Viii. Alexergy to contra
ix. Aspirin allergy

Question 2

What is Fabry’s disease

Question 3

What are the pathways for development of Viral Myocarditis

Answer 3

i. Direct viral invasion phase
- Viruses gain entry via GI or Respiratory Tract and directly infect organs with organs with direct receptors particularly in the intercalated disks around AV node, infection induces injury and subsequent lysis.
ii.Innate response
- Toll like receptors which releases Cytokines followed by expansion of B-cell and T-cell
iii.Adaptive response
- Activation of T-vells and Ab to specific proreins leading to secondary cardiac damage.