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Rezi > Cardio > Flashcards

Cardio Flashcards

1
Q

Sincopa Stokes Adams apare in:

A

BAV gr 3( complet) cu QRS largi

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2
Q

Medicamente care determina BAV gr 3 :

A 
4 ABCD
Amiodarona
Beta-blocante
Ca-blocante NDP
Digoxin
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3
Q

Hemiblocuri si deviatii axiale

A

hemibloc fasc A-S ➡️DAS

hemibloc fasc P-I ➡️ DAD

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4
Q

Hemibloc stang ANT

A

dev axiala stanga

S adanca in D3 + aVF

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5
Q

Ritm sinusal pe ekg

A

P + in DI, DII

P - in aVR

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6
Q

Cele mai frecvente cai aberante in AVRT

A

fascicule KENT

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7
Q

Palpitatii cu caracter neregulat in TPSV

A
  • ExA preex
  • Fl A cu transm variabila
  • FIA
  • tah atriala multi-focala
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8
Q

Caracteristic pt palpitatiile din TPSV

A

se termina prin manevra Valsalva

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9
Q

Cele mai frecv cauze FIA

A

HTA si IC

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10
Q

Cauze clasice FIA

A

🫀 reumatica
intoxicatia cu 🥃
tireotoxicoza

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11
Q

Indicatii : control ritm in Fia

A

tineri, SY, activi fizic
cu : antiaritmice: Ia, Ic, III
ablatia AS- Fia paroxistica/persistenta recenta

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12
Q

Indicatii control FC in FIA

A

Fia permanenta
Fia persistenta in caz de esec cardioverse/antiaritmice
>65 ani + tahiaritmii atriale recurente( “fia acceptata”

cu : digoxin, beta blocante, ca-blocante NDP
“ablate and pace” la varstnici slab controlati medicamentos

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13
Q

Metoda “pace and ablate”

A

Ablatia NAV + implantare stimulator cardiac
la 👨🏼‍🦳🧑🏻‍🦳 cu control slab medicamentos
efect: ⬇️ simptomele
necesita anticoagulare toata viata

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14
Q

scoruri in FIA

A

CHA2DS2VASC pt Fia non-valvulara

HAS-BLED pt risc hemoragic in anticoagulare

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15
Q

putem demasca undele F “in dinti de fierastrau” din Fl A care nu sunt vizibile prin :

A

masaj carotidian

blocante ale cond AV: Verapamil / Adenozina

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16
Q

Cardioversie farmacologica FiA vs Fl A

A

Fia : Ic : Flecainida, propafenona iv + oral
III : Amiodarona, Vernakalant

Fl A : Ic: Fleicainida, propafenona
III: Dofetilida, Ibutilida superioare

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17
Q

Cel mai frecvent model in Fl A

A

tipic sau antiorar

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18
Q

De electie in flutter atrial recurent:

A

ablatia cu cateter - intrerupe circ de reintrare prin bloc de cond in istmul dintre inel tricuspidian + VCI

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19
Q

TAM

A

EKG: unde P cu morfologii dif >3 si intervale RR neregulate

asociere cu BPC

20
Q

TJA

A

EKG ca in AVNRT

rara la adulti

21
Q

Tratament in sdr Brugada

A

ICD

22
Q

EKG sdr Brugada

A

BRD + supradev ST concava V1, V2, V3

FiA

23
Q

Caracteristic pt ExV

A

pulsus bigeminus

aspect de “R pe T” - duce la FIV la cei cu boal cardiaca ( post-IM)

24
Q

TVNS apare la
….% cu boala str cardiaca
…..% cu cord normal

A

60-80% ; beta blocante + ICD

6% ; nu necesita Tx

25
Q

Tx pe termen lung tahiaritmii

A
  1. antiaritmice
  2. ablatie
  3. ICD
26
Q

Clasificarea Forrester

A

bazata pe cateterismul drept, ofera inf terapeutice si prognostice

27
Q

⬇️ flux coronarian de sange oxigenat:

A
  1. anemia
  2. carboxihemoglobinemia
  3. hTA prin ⬇️ pres de perfuzie coronara
28
Q

Scoruri ce evalueaza riscul vital in SCA:

A

TIMI-NSTEMI/AI ☠️ la 14 zile
GRACE- ☠️ la 6 luni de la externare din spital pt un SCA

TIMI in STEMI- risc de ☠️ la 30 zile

29
Q

Scorul GRACE include

A 
varsta
FC
TA
Creatinina serica
clasa Killip la prezentare
Antecedente de ICC, IM 
Enzime cardiace, SUBdeniv ST
Fara PCI in spital
30
Q

Sunt inhibitori GP IIb/IIIa :

A
  1. ABCIXIMAB - PCI in urm 24h
  2. EPTIFIBATIDA- risc inalt tratat med/PCI
  3. TIROFIBRAN - risc inalt tratat med/PCI

Doar cand exista tromboza marcata la CORO/ complicatii PCI( embolizare distala)
sunt antagonisti ai agregarii plachetare.

31
Q

Ocluzia trombotica a unei a coronare produce NECROZA in :

A

15-30 minute

32
Q

IN STEMI primul afectat este:

A

miocardul SUBENDOCARDIC

33
Q

La cat timp se face EKG la primul contact cu un pac cu STEMI?

A

la 10 minute, cu repetare la fiecare 15 min daca nu are mod si durerea continua

34
Q

Metoda preferata de reperfuzie in STEMI este :

A

angioplastia primara percutana( PCI) in prima h

35
Q

Intervalul de timp in care se poate efectua PCI in STEMI

A

primele 60 min - 1H

36
Q

Intervalul de timp in care putem efectua tromboliza in STEMI:

A

primele 6h

37
Q

Anticoagulante alternative in HIT

A

DANAparoid
ArgaTROBAN iv
Fondaparinux
⛔️ nu se reexpun la heparina!

38
Q

Interactiuni medicamentoase ale Warfarinei

A

Inductori/Inhibitori citocrom P450

Aspirina; Clopidogrel

39
Q

Riscuri trat cu warfarina

A

sangerare majora 2% pe an
sangerare fatala( intracraniana) 0,25%
Au loc in intervalul tinta INR
cu cat INR ⬆️, cu atat ⬆️ riscul hemoragic

40
Q

FiA cu pre-excitatie pe ekg

A

QRS largi, neregulate

41
Q

Apar prin circuit de macroreintrare:

A
  1. AVRT
  2. Flutter atrial
  3. Tahi A- int chir pt b ❤️ congenitale
42
Q

CI absolute transplant 🫀

A

⬆️ RVP

Cancer

43
Q

Ce vasodilatator se da in ICA hipertensiva?

A

Nitroprusiat de Na- 0,3-0,5/kg/min iv

44
Q

Algoritm in angina

A
  1. NTG cu durata scurta
  2. b-blocant / calciu-blocant
  3. revascularizare: PCI/ CABG
45
Q

EKG in STEMI

A

supradeniv ST

BRS

46
Q

Aspect de fortare(strain) al VS

A

subdv ST si T inversate in deriv care privesc VS ( D1, aVL, V5 si V6)
- suprasolicitare de pres in SAo severa

Rezi (11 decks)

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