Cardio Flashcards
medication for long term symptom control of stable angina
- Beta blockers
- Calcium channel blockers
Medication for secondary prevention of stable angina
- Aspirin
- ACE-i
- Atorvastatin
- Beta Blocker
Artery & ECG leads affected in anterolateral MI
LCA
I, aVL, V3-V6
Artery & ECG leads affected in anterior MI
LAD
V1-V4
Artery & ECG leads affected in lateral MI
Circumflex
I, aVL, V5-V6
Artery & ECG leads affected in inferior MI
RCA
II, III, aVF
Initial NSTEMI Treatment
BATMAN
- Beta Blocker
- Aspirin
- Ticagrelor
- Morphine
- Anticoagulant (fondaparinux)
- Nitrates
Complications of MI
DREAD
- Death
- Rupture (around 1-2 weeks later)
- Edema
- Arrhythmia
- Aneurysm
- Dressler’s syndrome (2-6wks following MI, fever + pleuritic chest pain + pericardial effusion + raised ESR)
possible triggers of Left Ventricular Failure with Pulmonary Oedema
- Sepsis
- Myocardial Infarction
- Arrhythmias
- Iatrogenic (e.g. IV Fluids)
CXR changes in Left Ventricular Failure with Pulmonary Oedema (5)
1- upper lobe diversion
2- Pleural effusion
3- cardiomegaly
4- fluid in fissures
5- Kerley lines
Acute management of Left Ventricular Failure with Pulmonary Oedema
- treat cause
- sit up
- oxygen
- diuretics
Causes of heart failure
- ischaemic heart disease
- valvular heart disease
- hypertension
- arrhythmias
first line medical treatment of heart failure
ABAL
ACEis
Beta Blocker
Aldosterone Antagonists (e.g. eplerenone)
Loop Diuretics (e.g. Furosemide, Bumetanide)
Secondary causes of hypertension
ROPE
Renal causes
Obesity
Pregnancy
Endocrine causes
Endocrine causes of hypertension
- Primary hyperaldosteronism
- Phaechromocytoma
- Cushing’s syndrome
- Hyper or Hypothyroidism