Cardio

Question 1

Statin benefit

Answer 1

lipid-lowering therapy with statins reduces relative CVD risk by approximately 30 percent regardless of baseline LDL-C

Question 2

LDL > 190

Answer 2

For all patients with LDL-C ≥190 mg/dL (≥4.9 mmol/L), we do a work-up for familial hypercholesterolemia (FH) and, if present, treat accordingly.

If LDL more than 190, start high intensity statin.

** Atorvastatin 40-80 mg is considered high dose statin
** Rosuvastatin 20-40 considered high intensity

Question 3

What could happen if LDL is too low?

Answer 3

Intracranial bleeding

Question 4

PE workup

Answer 4

Order:
- CBC with differential and platelets
- Serum electrolytes
- BUN
- Creatinine
- Glucose
- D-dimer
- CXR

If suspected PE and positive D-dimer: order imaging: CT pulmonary angiography (CTPA)

If CTPA is CI, order VQ Scan

Question 5

Cardiac output

Answer 5

HR x SV

Question 6

What is CHF definition

Question 7

Which medication decrease mortality and hospitalization in pts with HFrEF?