Cardio Flashcards
Ventricular depolarization (ECG)
QRS Complex
Most common mechanism for arrhythmia
Re-entry
Most common mechanism of arrest in MI
Ventricular fibrillation
No p wave, irregularly, irregular rhythm (ECG)
Atrial fibrillation
Saw tooth pattern (ECG)
Atrial flutter
Progressive increase in PR interval then drop beat
Second degree AV block Type 1 (Wenckebach)
Constant PR interval then drop beat
Second degree AV block type 2
Most common cause of death worldwide
CVD
Slight limitation of activity
NYHA II
Less than ordinary activity cause symptoms
NYHA III
Systolic pulsation on liver
Severe TR
Posterior calf pain on active dorsiflexion
Homan sign
Single most important bedside measurement to estimate volume status
JVP
Exaggerated fall in SBP>10
Pulsus paradoxus
Pulsus paradoxus
COPD Shock PE Tamponade Tension Pneumothorax
Weak and delayed pulses
Pulsus Parvus et Tardus
Pulsus Parvus et Tardus
Aortic stenosis
Sharp rise, rapid fall, collapsing pulses
Corrigan or Water-Hamme pulse
Corrigan pulse
Aortic regurgitation
Double peak pulse
Bifid or bisferiens pulse
Bifid pulse
HOCM, AR
Beat to beat variability of pulse amplitude
Pulsus alterans
Pulsus alterans
Severe LVF, CHF
Normal PMI
5th ICS LMCL,
Fix splitting of heart sound
ASD
Widely split heart sound
Right bundle branch block
Paradoxical splitting of heart sound
LBBB
AS
S2 is best auscultated
Erb’s point
Murmur with a palpable thrill
Grade 4
Most common congenital heart disease
VSD
Increase intensity of TR murmur with inspiration
Carvallo’s sign
Earliest micro change in SHCVD
Inc in transverse diameter of myocytes
Most common cause of secondary hypertension
Renal parenchymal disease
Most common renovascular HTN
Medial fibroplasia
Gold standard for the diagnosis of renovascular HTN
Contrast arteriography
Most effective treatment for renovascular HTN
ACEI or ARB
Most common cause of primary hyperaldosteronism
Adrenal adenoma/Conn Syndrome
Confirmatory test for primary hyperaldosteronism
IV infusion of isotonic saline
Screening test for hyperaldosteronism
Plasma aldosterone
Screening test for Cushing syndrome
Dexamethasone suppression test
Dexa test: low - not suppressed, high - suppressed
Pituitary adenoma
Dexa test: low - not suppressed, high - not suppressed
Adrenal tumor
Primary hormone secreted by pheochromocytoma
Epinephrine
Manifestation of pheochromocytoma
Vasomotor instability
Most common cause of congenital HTN
Coarctation of the aorta
Treatment for HTN + DM/CKD
ACEI, ARB
Treatment HTN + CAD
BB, ACEI, ARB
Treatment HTN + CVD
ACEI, ARB, CCB
BP goal: DM, CVD, CKD
130/80
Symptoms of HF
Dyspnea
Fatigue
Signs of HF
Edema
Rales
HF with depressed EF
Systolic HF
HF with preserved EF
Diastolic HF
Intra-alveolar hemosiderin laden macrophages
Heart failure cells
Most common cause of Right-sided CHF
Left-sided CHF
Right sided CHF caused by intrinsic lung disease
Cor pulmonale
Centrilobular congestion and atrophy of hepatocytes
Nutmeg liver
Major cause of HF in Asia
Rheumatic heart disease
Most common cause of HF
CAD
Most common manifestation of left-sided HF
Pulmonary congestion
Edema
Most common cause of Ischemic Heart Disease
Atherosclerosis of the epicardial arteries
Most common type of Angina
Stable