cardio Flashcards

1
Q

list cardiac causes of chest pain

A

ACS, aortic dissection, pericarditis, MI, arrythmia, myocarditis, aneurysm

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2
Q

causes of non cardiac chest pain

A

respiratory (TB, cancer, pneumonia, PE)

CORD, hiatus hernia, anxiety, MSK, oesophageal spasm

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3
Q

what is ACS?

A

STEMI, NSTEMI or unstable angina (in latter cardiac markers will be negative)

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4
Q

treatment of atherosclerosis

A

lifestyle modification and statins

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5
Q

treatment of angina

A

lifestyle modification and beta blockers/CCB and aspirin

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6
Q

treatment of MI

A
MONA and sit them up
morphine
oxygen
nitrates
aspirin
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7
Q

treatment of aortic dissection

A

surgery and beta blockers

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8
Q

contraindicated in aortic stenosis

A

beta blockers, ace inhibitors and nitroglycerin

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9
Q

PE treatment

A

oxygen and analgesia

LMWH

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10
Q

how long is prolonged qt?

A

2s, 5 squares-this is heart block

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11
Q

what will you find a slurred R wave in I, V5 and V6 in?

A

LBBB with W in V1 and M in V6

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12
Q

treatment of bradyarrythmia

A

atropine

isoprnaline

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13
Q

treatment of ventricular fibrillation

A

CPR
defibrillator
ALS and cardioversion

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14
Q

secondary htn

A
diabetes
PKD
renal failure
phaechromocytoma
hyperthyroid
Conns
Cushings
cancer
drugs
pregnancy§
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15
Q

what scores would you use to assess risk in a patient with AF?

A

Chadsvasc (stroke risk in AF)

HASBLED (major bleed in AF)

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16
Q

who do you offer CCB to as first line treatment?

A

in anyone in whom the renin drive is high so anyone over 55 and 55 and over african or Caribbean origin

17
Q

what is better for relieving oedema than a thiazide?

A

loop-thiazide better for bp management

18
Q

what does a wide pulse pressure indicate?

A
low resistance and stiffness in the vessels 
exercise
aortic regurg
anaemia
aortic dissection
hyperthyroid
19
Q

low pulse pressure causes (narrow)

A

blood loss

congestive heart failure