Angina Flashcards by Lucy Ann

What tests would you run on a patient with suspected angina?

ECG

Possibly exercise ECG

Bloods

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What is the management of angina?

Aspirin

Nitrates

Beta-blockers (atenolol)

Amplodipine if beta blockers are a no

Ivabridine if beta blockers are a no

PTCA if medicines cannot control it

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What drugs reduce the risk of stent thrombosis after a PTCA?

Antiplatelets - Clopidogrel

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What is the treatment for bradycardia?

Atropine

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Saddle shaped ST elevation

Pericarditis

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What is Dressler’s syndrome?

Recurrent pericarditis 1-3 weeks post MI

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What is CABG?

Coronary Artery Bypass Graft

Used in left main stem disease

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What tests do you do on someone who has an arrhythmia?

FBC
U&amp;E
Glucose
Ca2+
Mg2+
ECG
24hr ECG
Echo

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If a patient comes in with bradycardia and a hr of 43bpm what should be done?

Nothing if asymptomatic

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What gives a sawtooth baseline on an ECG?

Atrial flutter

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What is the management of supraventricular tachycardia?

Vagotonic manoeuvres

IV adenosine/verapamil

Shock if compromised

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What is the treatment for AF/Atrial flutter?

Beta-blocker/verapamil to control rate

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What is the management of VT (ventricular tachycardia)?

IV amiodarone

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What is the management of narrow complex tachycardia?

Vagal manouvres

Adenosine

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What is Wolf-Parkinson-White syndrome?

Accessory pathway between the atria and the ventricles e.g. bundle of Kent

Resting ECG shows short PR intervals and wide QRS complexes

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What is the treatment for acute AF?

Emergency cardioversion

IV amiodarone if unavailable

Verapamil

What is the treatment for chronic AF?

Anticogulation (warfarin)

Beta blocker or rate limiting calcium channel blocker

Rhythm control - cardioversion or flecainide/amiodarone

What is the treatment of Atrial Flutter?

Vagal manoeuvres + adenosine

Cardioversion - if indicated

Amiodarone

What is the treatment for chronic heart failure?

Diuretics - furosemide

ACE-i/ARB

Beta blockers

Spironolactone

Digoxin

Vasodilators e.g. hydralazine

What tests would you do on a patient who you suspected had hypertension?

Fasting glucose + cholesterol - overall risk

ECG + urine analysis - end-organ damage

U&E + Ca2+ - exclude secondary causes

24hr bp

echo

What is rheumatic fever?

Systemic infection

What is Turner’s syndrome?

Girl with one X

What is Marfan’s syndrome?

Tall and thin

What are some clinical signs of infective endocarditis?

Clubbing

Splinger haemorrhages

Janeway’s lesions

Osler’s nodes

What makes up Fallot's tetralogy?

Ventricular septal defect Pulmonary stenosis Right ventricular hypertrophy Aorta overriding the VSD