Cardiac Pearls Flashcards
Pulsus paradoxus
Cardiac tamponade
Constrictive pericarditis
Bisfiriens pulse
Aortic regurgitation
Pulsus parvus
Pulsus tardus
Aortic stenosis
Pulsus alterans
Severe left ventricular dysfunction
MC cognenital heart defect with R-L shunt
Tetralogy of Fallot
Components of tetralogy of Fallot
VSD
Overriding of the Aorta
RVH
Pulmonary Outflow Tract Obstruction
Treatment for increased PA pressure
Nitroglycerine
Treatment for wide complex tachycardia with stable VS
Amiodarone 150mg IV over 10mins
Normal resting myocardial O2 consumption
8ml/100g/min
Muscular changes noted in AORTIC STENOSIS
Concentric LVH
Resting coronary artery blood flow
225-250ml/min
Or
75ml/100g/min
Hallmark of PA rupture
Hemoptysis
Dose of protamine to reverse 20,000 units of heparin after CPB
1.3mg protamine : 1mg heparin
250mg
RV in perfused during
Systole and diastole
LV is perfused during
Diastole
Best TEE view to monitor ischemia
Transgastric mid papillary LV short axis view
TEE view to monitor anterolateral LAD and Circumflex
Mid esophageal 4 chamber
TEE view to monitor the anteroseptal (LAD) and inferolateral (CX or RCA)
Mid esophageal Long axis view
Anterior and inferior wall
Mid esophageal 2 chamber view
Reversal agent for Clopidogrel
Platelet transfusion
Side effect of PDE3 inhibitor AMRINONE
Thrombocytopenia
Normal MV orifice
4-6cm2
Goals for MS
- avoid tachycardia
- avoid hypervolemia
- avoid decrease SVR (hypotension, tachycardia)
- avoid hypoxia and hypercarbia
Goal for cardiac tamponade
Increased pre laod, fast heart rate, increased afterload
