Cardiac for dummies Flashcards
If a patient doesn’t tolerate an ace inhibitor, you can next try them on an_______. This class of medication should NEVER be given in combination with an ACE inhibitor.
ARBs
-sartans (losartan)
for people who don’t tolerate ACE inhibitors
First line agents for HTN are:
thiazide diuretics
SBP >180 or DBP>110 is hypertensive____
and is treated with ______
urgency
oral antiHTN
swelling of the optic disc with blurred margins
papilledema
emergency, requires IV antiHTN and BP monitoring
What EKG changes are seen with classic anginal pain?
ST depression
stable/exertional angina
chest pain with exertion
goes away with NTG/rest
typically ST depression
tightness pain of chest
Printzmetals angina is caused by:
vasospasm
(NOT BY CAD, these people have a clean angio)
treated with calcium channel blockers
typically ST elevation on EKG
Levine’s sign is more than 90% diagnostic of angina.
Levine’s sign is when:
the patient has their hand clenched over their chest
What is normal total cholesterol?
<200
What is normal triglycerides?
<150
What is optimal LDL?
<100
When is HDL high?
>60
this is good bc it cancels the preHTN risk
Patients with angina should modify their diet by decreasing:
saturated and unsaturated fats
30% of patients with MI have no initial _____ changes
12-lead EKG
Which troponin is 100% cardio selective?
troponin I
Per Barkley, the treatment for acute MI IN ORDER is:
1st ASA
2nd nitro
(unblock the vessel before trying to get O2 to it)
3rd oxygen
What is the timeframe for cardiac fibrinolytics?
30 minutes of chest pain, within 6 hours of onset
Why do patients with claudication need to exercise?
To develop collateral circulation
What is first line therapy for dermatitis?
wet compress and hydrocortisone
(NOT antibiotics)
What is the leading cause of heart failure in America?
HTN
What heart sound is heard suring systole and is the closing of the AV valves?
S1
What heart sound is head during diastole and is the closing of the pulmonic and aortic valves?
S2
Name three causes of S3?
pregnancy (normal)
CHF
fluid overload
Name three causes of S4?
HTN
stiff ventricular wall
MI