Cardiac Investigations Flashcards

1
Q

A patient comes in with chest pain. What investigations would you think of doing?

A

ECG
CXR
Exercise testing

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2
Q

A patient comes in who is breathless. What investigations would you think of doing?

A

ECG
CXR
Echocardiography

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3
Q

A patient comes in with palpitations. What investigations would you think of doing?

A

CXR
24hr ECG
Echocardiography

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4
Q

A patient comes in and you hear a murmur. What investigations would you think of doing?

A

ECG

Echocardiography

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5
Q

What is the most widely used protocol for exercise ECGs?

A

Bruce protocol

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6
Q

When are ECGs and BP recorded in an exercise ECG test?

A

At the end of each stage of the Bruce protocol (every 3 mins)

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7
Q

What does cardiac catheterisation (coronary angiography) involve?

A

Introducing (flexible) catheters to the heart and coronary vessels via the femoral/radial artery
They can detect pressure changes and inject dye for imaging of arteries, producing an angiogram

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8
Q

How does CT coronary angiography differ from normal coronary angiography?

A

Inject dye to light up arteries then use XR to create CT image (no catheters inserted)
Less-invasive but do expose to radiation

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9
Q

When would CT coronary angiography be likely used?

A

In lower risk patients and those with anatomical abnormalities

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10
Q

What are the limitations of CT coronary angiography?

A

Contrast allergy
Lower resolution
Need specialist equipment
Radiation

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11
Q

Echocardiography is a form of what?

A

Ultrasound

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