Cardio 6 Flashcards
pulmonary stenosis murmur heard best where?
second left intercostal space
radiates to shoulder
ejection systolic
Left ventricular free wall rupture
is associated with?
cardiac tamponade and acute HF due to
pericardium to rapidly fill with blood
when investigating aortic dissection
after Xray what do you look at?
if patients are unstable?
CT angiography
transoesophageal echocardiography
what type of antibiotic can cause torsades desn pointes?
macrolide
azithromycin
unstable angina is at rest
T/F?
true
Aortic Dissection
management
Ascending aorta?
IV labetolol to control BP
> theatre
> surgery
what is broad complex QRS?
how many small squares?
> 0.12 milliseconds
3 small squares
common causes of broad complex?
Stable broad complex tachycardia
is VT unless proven otherwise
Diagnosing bundle branch block
step 1
what would QRS show?
wide QRS > 3 small squares / >0.12 ms
Dx BBB
left
which leads to look at?
1) wide QRS
2) Lead V1 / V6/ lead 1
cominant negative QRS in v1
broad slurred R in V6 / lead 1
which antibiotic class reacts with statins?
what is the interaction?
macrolide such as erythromycin
increase risk of hepatotoxicity and rhabdomyolysis
pedunculated heterogeneous mass on echocardiogram
atrial myxoma
Atrial myxoma is a
benign tumour
left atrium (most likely)
atrial myxoma presents with triad of?
mitral valve obstruction, systemic embolisation + constitutional symptoms
following a TIA if a patient has Afib how to manage?
anticoagulate immediately once imaging has ruled out haemorrhage
acyanotic congenital cardiac abnormality?
vetricular septal defect - pansystolic murmur
congenital cardiac murmurs
patent ductus arteriosus
continuous machinery murmur
congenital cardiac murmur
murmur which is more prominent at beginning of systole?
ejection systolic
atrial septal defect
A murmur which is more prominent at the start of diastole
early diastolic
aortic and pulmonary regurg
A murmur more prominent towards the end of systole
coarctation of the aorta / mitral valve prolapse
coarctation of aorta?
aortic clicks
radio-femoral delay
bisferiens pulse
mixed aortic valve disease
2 distinct systolic peaks
statin monitoring
LFTs
baseline
3 months and
12 months
Streptococcus sanguinis
group of viridans group of streptococci
a-hemolytic
commensal in mouth / dental disease