Cardio 2 Flashcards

1
Q

Tx of HOCM

A

BB or CCB

avoid volume depletion

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2
Q

Ebstein anomaly murmur

A

triple or quadruple gallop

holosystolic or early systolic murmur at LLSB

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3
Q

TOF murmur

A

harsh systolic crescendo-decrescendo murmur

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4
Q

EKG of tricuspid atresia

A

LAD
peaked p waves (b/c have ASD)
small R waves in precordial leads

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5
Q

EKG of Ebstein’s anomaly

A

peaked p waves

RAD

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6
Q

bisfierens pulse

A

AR

HOCM

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7
Q

water bottle shaped heart

A

pericardial effusion

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8
Q

med post MI to help limit ventricular remodeling (ventricular dilation)

A

ACEi

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9
Q

management of A fib with WPW

A

unstable: cardioversion
stable: IV procainamide or ibutilide

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10
Q

mediastinitis

  • sxs
  • management
A
post op (cardiac surgery) within 14 days
fever
CP
incr HR
incr WBC
sternal wound drainage
purulent discharge
mediastinal widening on CXR

surgical debridement and ATBs

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11
Q

postpericardiotomy syndrome

  • sxs
  • management
A
autoimmune, a few weeks after cardiac surgery
fever
WBC
incr HR
CP

NSAIDs or steroids

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12
Q

when is tx for hyperkalemia indicated

A

at least 6.5

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13
Q

meds to withhold 48 hours before stress test (unless trying to see how well meds are working to prevent angina)

A

BB
CCB
nitrates

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14
Q

management of deteriorating right ventricular MI (hypotension, incr JVP)

A

IVF

dopamine if persistent hypotension

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15
Q

electrolyte abnormalities that can cause long QT syndrome

A

hypokalemia
hypocalcemia
hypomagnesemia

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16
Q

egg on a string

A

TGA

17
Q

snowman sign

A

TAPVR (enlarged supracardiac veins and SVC)

18
Q

ventricular free wall rupture timeline

A

5 days to 2 weeks

19
Q

interventricular septum rupture timeline

A

acute and within 3-5 days

20
Q

PEA after MI

A

ventricular free wall rupture

21
Q

indication for surgical revascularization for peripheral artery disease

A

limb threatening complications (non healing ulcers)
significant limitation of ADLs
failed exercise and meds

22
Q

statins are indicated when…

A

40-75 and DM
LDL at least 190
ASCVD at least 7.5%