Cardio

Question 1

Features of acute pericarditis on ECG?

Answer 1

PR segment depression
can cause ST elevation (saddle shaped)
changes are generally widespread rather than territorial in ischaemic events

Question 2

Clinical features of pericarditis?

Answer 2

chest pain - can be pleuritic
pain often relieved by sitting forward
can have non-productive cough and flu-like symptoms
can have pleuritic rubm

Question 3

Management of pericarditis?

Answer 3

can usually be managed as outpatient
NSAIDs or colchicine
manage underlying cause

Question 4

Which patients with pericarditis should be managed as inpatients?

Answer 4

Fever >38
Elevated troponin

Question 5

How is SVT managed when cardiovascularly stable (not shocked)?

Answer 5

Vagal manoeuvre
If this fails then Adenosine 6mg (rapid bolus) (Verapamil if asthmatic)
If this fails give 2nd dose of 12mg
If this fails given 3rd dose of 18mg

Question 6

How is SVT managed if shocked (eg hypotensive)?

Answer 6

Synchronised DC cardioversion

Question 7

4 pillars of heart failure?

Answer 7

acei/ARNI (eg Entresto)
beta blocker
SGLT2-i (dapa)
aldosterone antagonist (Spironolactone)