Cardiac Diseases Flashcards
Investigations to confirm heart failure
- ECHO
- Pro-BNP/NT Pro-BNP
Investigations to look for etiology of heart failure
- ECHO (Structural abnormality, Valvular disease)
- ECG (Arrythmia ; cause / complication)
- Thyroid Function Test, FBC (TRO secondary causes)
- high output heart failure in hyperthyroidism and anemia
Investigations to look for complication of heart failure
- CXR
Classification of Coronary Artery Disease
- Stable Angina
- Acute Coronary Syndrome
- Unstable Angina
- NSTEMI
- STEMI
Cardiac symptoms & signs of coronary artery disease
Symtoms:
1. Chestpain
2. HF symptoms
3. Arrythmia symptoms
Signs:
1. HF signs
2. Irregular pulse
Investigations to confirm CAD
To confirm Stable Angina :
1. ECG
2. Risk Stratification (Stress Test/CT Coronary)
3. Coronary Angiography if high risk.
To confirm ACS :
1. ECG
2. Cardiac Enzymes
3. Coronary Angiography
Investigations to look for etiology of CAD
- Lipid Profile
- Diabetic screening (HBA1c, FBS)
Investigations to look for complications of CAD
- ECHO (Heart failure, Mechanical complication)
- CXR (Pulmonary Edema)
Classification of arrythmia
- Tachyarrythmia
- Narrow complex tachycardia
- Broad complex tachycardia - Bradyarrythmia
- Sinus bradycardia
- AV block
- Sinus block
Narrow complex tachycardia definition & types
QRS complex ≤ 120 ms
- Sinus tachycardia
- Junctional tachycardia
- Supraventricular tachycardia
- Atrial fibrillation
- Atrial flutter
Broad complex tachycardia definition & type
QRS complex > 120 ms
- Ventricular tachycardia
- Ventricular fibrillation
Cardiac arrythmia symptoms & signs
Symptoms
1. Arrythmia symptoms
2. Heart failure symptoms (low cardiac output d/t poor heart contractility)
Signs
1. Irregular pulse
2. Heart failure signs
3. Valvular heart disease signs
4. Signs of complications (stroke)
Investigation to confirm cardiac arrythmia
- ECG
- Cardiac Electrophysiology Study
Investigations to look for etiology of cardiac arryhtmia
- Electrolytes
- TFT
- FBC
- Renal Profile (uremia)
- ECHO (valvular heart disease)
Investigations to look for complications of cardiac arrythmia
- CXR
- ECHO (Heart failure)
Characteristic of mitral stenosis (MS)
Mid Diastolic murmur
Best heard at mitral area
Accentuated by expiration
and left lateral tilt
Symptoms of Mitral stenosis
Symptoms
1. Exertional dyspnea
2. Hemoptysis (d/t PO)
3. Palpitations (AF)
4. Chest pain
Signs of mitral stenosis
Signs
1. Malar flush
2. Atrial fibrillation
3. Tapping apex beat
4. Low volume pulse
5. Loud S1
Causes of mitral stenosis
- RHD (most common)
- Annular calcification
- Congenital
- Mucopolysaccharides
Characteristics of mitral regurgitation (MR)
Pansystolic murmur
best heard at mitral area
Radiating to left axilla
Accentuated by expiration
Symptoms of mitral regurgitation
- Palpitations
- Exertional dyspnea
- Fatigue
- Weakness
Signs of mitral regurgitation
- Atrial fibrillation
- Displaced, thrusting apex beat
- Soft/ absent S1
Causes of mitral regurgitation
- Papillary muscle rupture/dysfunction
- Mitral valve prolapse
- RHD
- IE
- Connective tissue disorder
Characteristic of aortic stenosis (AS)
Ejection systolic murmur
Best heard at aortic area
Radiating to carotid
Accentuated by expiration