Behavioral Science Flashcards
significant predictor of mortality within first 6 months of MI
major depressive disorder
error in counseling by physician younger than cardiac patient
-use of fear to try to get the patient to stop risk behaviors
-may unconsciously blame patient for illness
causes increased anxiety or denial of illness
error in counseling by physician of similar age as cardiac patient
avoidance of topic
antidepressant drugs that should be avoided in cardiac disease
TCAs -> orthostatic hypotension
Citalopram -> can prolong QT
Lithium -> can cause arrhythmias in acute heart failure
MAOIs -> resting and orthostatic hypotension
Concerns with antipsychotics and cardiac disease
- haloperidol causes hypotension and torsades de pointes
- pimozide & thioridizine cause prolonged QT
disorders associated with atypical chest pain
- panic disorder
- MD
- multiple phobias
Cardiac disorder found with panic disorder
mitral valve prolapse
side effects of SSRIs and beta-blockers
bradycardia
which drug should be used for diuresis in a patient taking lithium?
furosemide
Avoid using thiazide diuretics and salt restriction as can make lithium levels toxic
Which class of drugs decreases effects of digoxine and quinidine, since they induce hepatic enzymes?
barbiturates
Which drug impairs metabolism of carbamazepine?
verapamil
Which drug may cause haloperidol toxicity?
methyldopa
Which antihypertensive drug class can increase lithium levels to toxic?
ACE inhibitors
Single greatest preventable cause of premature death, disability and unnecessary expense in the US
cigarette smoking
What is the best motivator for cardiac rehab participation?
physician fervor of recommendation
