Cardiac clinical Flashcards
What is the most specific blood test for myocardial necrosis?
Cardiac troponin
What is the initial treatment for an MI?
Morphrin Oxygen Nitrates Aspirin Clopidogrel Primary PCI if it can occur within 90 mins
What mediation should a patient be given on discharge, after having had an MI?
Aspirin
Beta blockers
ACEI
Statin
How do you treat sinus bradycardia after an MI?
Atropine
What kind of MI do you most often get the development of 1st degree heart block?
Inferior
Central chest pain, relieved by sitting forwards
Pericarditis
Saddle shaped ST elevation
Pericarditis
Mid-diastolic murmur with a tapping, undisplaced apex
Mitral stenosis
Broad QRS with slurred upstroke on R wave (delta wave)
Wolf parkinson white syndrome
What is dresslers syndrome?
Pericarditis 4 - 6 weeks post MI
What drug causes yellow/green vision?
Digoxin
Continuous Machine like Heart Murmur
Patent ductus arteriosus
Crescendo decrescendo murmur
Aortic stenosis
Systolic murmur, radiates to the neck
Aortic stenosis
How do you treat supraventricular tachycardia?
Vagotonic manoevres
IVadenosine or verapamil
How do you treat rate in AF?
Digoxin
How do you treat ventricular tachycardia
IV amioderone of IV lidneocaine
What is Mobitz Type 1 heartblock?
With each successive QRS the PR interval become wider until eventually you miss a beat
What is mobitz type 2?
There is a ration of beats to missed beats 2:1 or 3:1
What is type 3 heart block?
No correlation between the atria and ventricles
What is the first line treatment for broad complex tachycardia?
Amioderone
What is the treatment for someone in AF who is very ill?
Emergency cardioversion of IV amioderone
