Cardiac Contraindications

Question 1

P2Y12

Answer 1

Bleeding

Question 2

GPllb/llla Receptor Inhibitors

Answer 2

Hx hemorrhagic Stroke
Ischemic Stroke
Dialysis

Question 3

Fibrinolytics

Answer 3

NSTEMI
Active internal bleed
Ischemic stroke w/i last 3 months
Aortic Dissection
Treatment w/streptokinase in past 6 months

Question 4

Nitrates

Answer 4

Phosphodiesterase Type 5
HOCM
Stenosed Aortic Valve

Question 5

Direct Thrombin Inhibitors

Answer 5

CrCL<30
Pregnancy
High bleed risk

Question 6

Heparin

Answer 6

Hx HIT
GI Bleed
Surgery
Heavy alcohol use
Renal Failure

Question 7

LMWH

Answer 7

Hx HIT

Question 8

Aspirin

Answer 8

Severe bleeding

Ulcers

Question 9

Fibric Acid Derivatives

Answer 9

Gallbladder disease
Liver Dysfunction
Kidney Dysfunction

Question 10

Omega-3 Fatty Acid

Answer 10

Anticoagulants

Antiplatelets

Question 11

Warfarin

Answer 11

Pregnancy

Bleeding

Question 12

Xa Inhibitors

Answer 12

CrCl<30
<50 kg
Bacterial Endocarditis
Pregnancy

Question 13

Statins

Answer 13

Pregnancy

Rhabdo

Question 14

Cholesterol Absorption Inhibitors

Answer 14

Liver Issues

Question 15

Nicotinic Acid

Answer 15

Diabetes

Question 16

Direct Renin Inhibitors

Answer 16

ACEI/ARBs

Pregnancy

Question 17

Alpha 2 Agonists

Answer 17

MAOI
Hepatic Disease
Pheochromocytoma

Question 18

Peripheral Sympathetic Inhibitors

Answer 18

Peptic Ulcers

Question 19

Direct Vasodilators

Answer 19

Pheochromocytoma

Increased Intercranial pressure

Question 20

Metoprolol

Answer 20

Severe Hepatic Damage

Question 21

Dihydropyridines

Answer 21

HR<60

BB

Question 22

Nondihydropyridines

Answer 22

HFrEF
BB
HR<60
Statins
Theophylline
Digoxin

Question 23

ACE Inhibitors

Answer 23

Pregnancy

Bilateral Renal Artery Insufficiency

Question 24

ARBs

Answer 24

Pregnancy

Question 25

K+ Sparers

Answer 25

ACEI/ARBs

Question 26

Aldosterone Antagonists

Answer 26

ACEI/ARBs
NSAIDs
Digoxin