Cardio Flashcards
Pulmonary Edema Precipitants
- Ischemia
- Arrhythmia
- Infection
- Nonadherence to medications
Treatment for DVT in uncomplicated patient
Xa inhibitor
treatment for DVT in a patient with underlying malignancy
LMWH
LDL goal in hyperlipidemia
LDL <70
betablockers that decrease mortality in CHF
metoprolol,carvedilol,bisoprolol
decreases mortalityh in CHF
espironolactone and eplerenone
indication for implantable defibrillator placement
EF <35%
indication for Biventricular pacemaker
EF<35% and QRS duration >120msec.
surgical indication for Aortic regurgitation
EF<55%
Aortic regurgitation initial treatment
ACE inhibitors
ARBs
Nifedioine
ST elevation in all leads
Pericarditis
treat with NSAIDS if there if no improvement give prednisone.
Low voltage and electrical alternance on EKG
Pericardia tamponade
confirm with echo look for pulsus paradoxus Do a pericardiocentesis
Aortic dissection treatment
Beta blocker
CHADS2
CHF Hypertension Age>75 Diabtes Stroke
1=ASA
2>=warfa,dabigatran,rivaroxaban or apixaba
dabigatran antidote
idarucizumab
Xa inhibitor antidote
Andexanet
regular rhythm with ventricular rate> 160-180
SVT
SVT treatment
stable: Vagal maneuvers and ADENOSINE
unstable: Synchronized cardioversion
WPW treatment
Procainamide
Ventricular tachi treatment
Stable:Amiodarona
Unstable: Cardioversion
A fib work up
Echo
TSH and T4
Electrolytes: K, Mg and Ca
Troponin or CK-MB
Valvular lesions associated with ehlers-danlos syndrome
MR
valvular lesion associated with Marfan syndrome
AR
MR
Most common Cause of dead in CHF and MI
Ventricular arrhytmia
INdication for CABG
- 3 coronary vessels with >70% stenosis
- Left main coronary artery stenosis >50-70%
- 2 vessels in a diabetic
- 2 or 3 vessels with low ejection fraciton
10 year risk of CAD is >7.5% …
give STATIN!!!
CHF wit systolic dysfuntion(EF<40%) treatmetn
-ACEIs + B blockers + spiro+ Digoxin(if needed)
CHF with diastolic disfunction and preserver EF
-B blockers and diuretics
treatment for regurgitant lesions
VASODILATION
- ACEi,ARBs or nifedipino
- Surgery if meds fail
Treatment for Stenotic lesions
Anatomic repair
Aortic stenosis treatment
Valve replacement
gradient > 70mmHg indicates severe disease
Aortic regurgitation treatmetn
1-.ACEi,ARBs and nifedipine
2-. Surgery if EF<55mmHg or end systolic diameter goes above 55mm
most common cause of MS
Rheumatic fever
Mitral stenosis treatment
Balloon valvuloplasty
Mitral regurgitation
1-. VASODILATION(ACEi,ARBs and nifedipino)
2-.OPERATE when EF<60% or LVESD>40mm
ASD findins in ausucltation
-Holosistolic murmur with fixed splittin of S2
brugada syndrome
RBB with ST elevation in leads V1-V3
Clinically presents as a syncope
Ginko biloba side effect
Bleeding and platelet disfunction
Long QT interval
QT interval >450 in men
QT interval >470 women
PR segment depression in lead II
ST elevation in all leads
Pericarditis
treat with NSAIDs
Pulsus paradoxus
-DECREASE of blood pressure>10 mmHg on inhalation
Electrical alternans
-Diferent height of the QRS complex
Cardia tamponade
Pulsus paradoxus
Electrical alternans
tachycardia with polymorphic P waves in association with COPD
MAT
-treat with O2 and diltiazem
