cardiac history Flashcards
1
Q
What conditions should you ask about in PMH?
A
rheumatic fever heart murmurs chilling childhood hypertension DM kidney disease thyrotoxicosis (atrial fibrillation) marfan's syndrome (aortic regurgitation or aortic dissection)
2
Q
what can thyroxine do to the heart?
A
precipitate or exacerbate angina
3
Q
what can recreational drugs do to the heart
A
cocaine and amphetamines can cause arrhythmias, chest pain, occlusive and aneurysmal peripheral arterial disease
4
Q
what can beta blockers and anti hypertensives do to the heart
A
impair the peripheral circulation and aggravate symptoms of intermittent claudication
5
Q
What should you ask about a patients FH
A
premature coronary artery disease in first degree relatives
sudden unexplained death at a young age