Cardio 2 Flashcards
Tx of HOCM
BB or CCB
avoid volume depletion
Ebstein anomaly murmur
triple or quadruple gallop
holosystolic or early systolic murmur at LLSB
TOF murmur
harsh systolic crescendo-decrescendo murmur
EKG of tricuspid atresia
LAD
peaked p waves (b/c have ASD)
small R waves in precordial leads
EKG of Ebstein’s anomaly
peaked p waves
RAD
bisfierens pulse
AR
HOCM
water bottle shaped heart
pericardial effusion
med post MI to help limit ventricular remodeling (ventricular dilation)
ACEi
management of A fib with WPW
unstable: cardioversion
stable: IV procainamide or ibutilide
mediastinitis
- sxs
- management
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
postpericardiotomy syndrome
- sxs
- management
autoimmune, a few weeks after cardiac surgery fever WBC incr HR CP
NSAIDs or steroids
when is tx for hyperkalemia indicated
at least 6.5
meds to withhold 48 hours before stress test (unless trying to see how well meds are working to prevent angina)
BB
CCB
nitrates
management of deteriorating right ventricular MI (hypotension, incr JVP)
IVF
dopamine if persistent hypotension
electrolyte abnormalities that can cause long QT syndrome
hypokalemia
hypocalcemia
hypomagnesemia
egg on a string
TGA
snowman sign
TAPVR (enlarged supracardiac veins and SVC)
ventricular free wall rupture timeline
5 days to 2 weeks
interventricular septum rupture timeline
acute and within 3-5 days
PEA after MI
ventricular free wall rupture
indication for surgical revascularization for peripheral artery disease
limb threatening complications (non healing ulcers)
significant limitation of ADLs
failed exercise and meds
statins are indicated when…
40-75 and DM
LDL at least 190
ASCVD at least 7.5%
