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Cardiovascular > Angina > Flashcards

Angina Flashcards

1
Q

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

A

ECG

Possibly exercise ECG

Bloods

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2
Q

What is the management of angina?

A

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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3
Q

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

A

Antiplatelets - Clopidogrel

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4
Q

What is the treatment for bradycardia?

A

Atropine

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5
Q

Saddle shaped ST elevation

A

Pericarditis

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6
Q

What is Dressler’s syndrome?

A

Recurrent pericarditis 1-3 weeks post MI

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7
Q

What is CABG?

A

Coronary Artery Bypass Graft

Used in left main stem disease

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8
Q

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

A 
FBC
U&E
Glucose
Ca2+
Mg2+
ECG
24hr ECG
Echo
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9
Q

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

A

Nothing if asymptomatic

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10
Q

What gives a sawtooth baseline on an ECG?

A

Atrial flutter

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11
Q

What is the management of supraventricular tachycardia?

A

Vagotonic manoeuvres

IV adenosine/verapamil

Shock if compromised

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12
Q

What is the treatment for AF/Atrial flutter?

A

Beta-blocker/verapamil to control rate

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13
Q

What is the management of VT (ventricular tachycardia)?

A

IV amiodarone

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14
Q

What is the management of narrow complex tachycardia?

A

Vagal manouvres

Adenosine

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15
Q

What is Wolf-Parkinson-White syndrome?

A

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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16
Q

What is the treatment for acute AF?

A

Emergency cardioversion

IV amiodarone if unavailable

Verapamil

17
Q

What is the treatment for chronic AF?

A

Anticogulation (warfarin)

Beta blocker or rate limiting calcium channel blocker

Rhythm control - cardioversion or flecainide/amiodarone

18
Q

What is the treatment of Atrial Flutter?

A

Vagal manoeuvres + adenosine

Cardioversion - if indicated

Amiodarone

19
Q

What is the treatment for chronic heart failure?

A

Diuretics - furosemide

ACE-i/ARB

Beta blockers

Spironolactone

Digoxin

Vasodilators e.g. hydralazine

20
Q

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

A

Fasting glucose + cholesterol - overall risk

ECG + urine analysis - end-organ damage

U&E + Ca2+ - exclude secondary causes

24hr bp

echo

21
Q

What is rheumatic fever?

A

Systemic infection

22
Q

What is Turner’s syndrome?

A

Girl with one X

23
Q

What is Marfan’s syndrome?

A

Tall and thin

24
Q

What are some clinical signs of infective endocarditis?

A

Clubbing

Splinger haemorrhages

Janeway’s lesions

Osler’s nodes

25
Q

What makes up Fallot’s tetralogy?

A

Ventricular septal defect

Pulmonary stenosis

Right ventricular hypertrophy

Aorta overriding the VSD

Cardiovascular (14 decks)

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