Cardio 3 Flashcards
pulmonary oedema you get a ?
wheeze
aortic dissection cxr findings
widened mediastinum
side effects of ACE inhibitors
angioedema
longer-acting dihydropyridine calcium channel blocker
amlodipine
nifedipine
rate-limiting one CCB
verapamil
diltiazem
symptomstiv aortic stenosis mx?
furosemide
why are nitrates contraindicated in AS?
potent vasodilators
reduce bp
increase strain on heart
Proximal aortic dissections are managed ?
surgical aortic root replacement
stable chest pain of suspected coronary artery disease aetiology
first line imaging?
contrast enhanced CT coronary angiogram
which HF class when you experience symptoms at rest?
NYHA Class 4
what is coarctation of the aorta?
congenital abnormality
> hypoperfusion
weakened femoral pulses
initial blind treatment for infective endocarditis?
IV amoxicillin
what type of CCB should not be added to beta blockers and why?
rate limitig CCB like verapamil / dilatezem
= bradycardia
= HF
what is indapamide?
thiazide like diuretic > preferred over thiazide diuretics in the first instanceq
patients undergoing fibrinolysis should be given what?
alteplase
fondaparinux
when is prasugrel given
if not taking any oral anticoagulation and undergoing PCI as part of DAPT prior to PCI
Nicorandil is what type of medication?
potassium channel activator
vasodilatory affect on coronary arteries
The interaction between clarithromycin and simvastatin can increase the risk
myopathy
rhabdomyolysis
causes of torsades de pointes
imbalances?
hypocalcaemia
hypokalaemia
hypomagnesaemia
when can / should you thrombolyse PE?
massive PE with hypotension
what is a LMWH?
enoxaparin
what is a DOAC?
rivaroxaban
apixaban
what is fondaparinux?
indirect
antihtrombin 3
enhances its ability to inhibit factor xa
what is Wellens syndrome?
Critical stenosis of left anterior descending artery
> IHD and resolving chest pain