Cardio Flashcards

1
Q

LDL goal in CAD

A

less than 100

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2
Q

use of stress test

A
  • confirm angina
  • evaluate therapy
  • people with CAD to evaluate risk
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3
Q

radioisotope test

A

working myocardium takes up dye

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4
Q

drugs used for stress test

A
  • adenosine or dipyridamole (cause vasodilation of maximally dilated vessels)
  • dobutamine (increases demand)
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5
Q

Holter monitor

A

ambulatory ECG

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6
Q

standard of care for stable angina

A

beta blocker, aspirin and nitrates for chest pain (secondary are CCBs)

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7
Q

beta blockers for CAD

A

metoprolol and atenolol

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8
Q

angioplasty is also known as….

A

percutaneous coronary intervention

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9
Q

difference between NSTEMI and USA

A

cardiac enzymes

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10
Q

treatment of USA/MI

A
  • aspirin
  • clopidegrel - 9-12 months
  • beta blocker
  • LMWH for 2 days (enoxaparin)
  • nitrates
  • O2
  • abciximab and tirofiban
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11
Q

long term USA treatment

A

aspirin, bblocker, nitrate, statin

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12
Q

drugs to provoke prinzmetal

A

ergonovine or acetylcholine (provoke vasoconstriction)

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13
Q

side of MI radiation

A

usually left (can be right in female)

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14
Q

things to avoid in right sided MI

A

nitrates and diuretics (cant reduce preload)

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15
Q

anterior ECG changes

A
  • ST elevations in V1-V4

- Q waves in V1-V4 late

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16
Q

posterior ECG changes

A
  • large R in V1/V2
  • ST depression in V1/V2
  • upright T waves in V1/V2
17
Q

cardiac enzymes in renal failure

A

can be falsely elevated

18
Q

use of CK-MB

A

measure reinfarction

19
Q

reduce mortality in MI

A

aspirin, beta blockers and ACEi

20
Q

beta blocker that reduces risk of death in MI

A

carvedilol

21
Q

contraindications to thrombolytics

A
  • trauma
  • previous stroke
  • recent surgery
  • dissecting aneurysm
  • bleeding
22
Q

treatment for second degree heart block after MI

A

atropine

23
Q

contraindication in pericarditis after MI

A

NSAIDS and corticosteroids

24
Q

high output heart failure conditions

A
  • anemia
  • pregnancy
  • hyperthyroid
  • AV fistulas
  • wet beriberi
  • Paget
  • MR
  • aortic insufficiency
25
Q

paroxysmal nocturnal dyspnea

A

waking up from sleep every 1-2 hours

26
Q

S3

A

rapid filling in non compliant ventricle, heard at apex

27
Q

S4

A

atrial systole pumped against stiff wall, left sternal border

28
Q

tests for new CHF

A

chest xray, ECG, cardiac enzymes, CBC (anemia), echo

29
Q

chest xray in CHF

A
  • cardiomegaly
  • Kerly B (pulmonary congestion)
  • interstitial markings
  • pleural effusion
30
Q

lifestyle treatment of CHF

A

sodium and water restriction