Cardio Flashcards
Angina/IHD
Aspirin + statin +GTN
PLUS - 1. Beta blocker or CCB
- inc dose
- add CCB ( nifedipine NOT VERAPAMIL)
Primary prevention in diabetics
Atorvastatin 20 mg in:
> 40y
diabetes >10y
nephropathy
other CVD risk
HF investigations - previous MI
Echo within 2 wks
HF investigations - no previous MI
BNP, if v high –> echo in 2wks. If raised –> echo in 6 wks
Systolic HF
- Beta blocker (bisprolol) and ACEi
- add spironolactone/ARB/ATII blocker
Supportive - furosemide, flu vaccine, one off pneumococcal vaccine
Diastolic HF
Supportive - furosemide, flu vaccine, one off pneumococcal vaccine
Hypertension
- ACEi/CCB (if over 55 or afro carribbean)
- Add other
- thiazide
Hyperlipidaemia (primary prevention:
Qrisk (10y CVS risk) >10%
type 1 diabetics
CKD stage 3 or more
20mg atorvastatin
Hyperlipidaemia (secondary prevention):
- MI
- stroke
- PAD
80mg atorvastatin
NSTEMI
Morphine+metaclopramide Oxygen Nitrates Aspirin 300mg and clop 300mg LMWH
Assess need for PCI w GRACE score/ later angiogram
STEMI
Morphine+metaclopramide Oxygen Nitrates Aspirin 300mg and clop 300mg Beta-blocker ACEi Statin Heparin
PCI within 2hrs or tPA then PCI if unable
Glucose control in diabetics post MI
Stop meds, dose adjusted insulin infusion, glucose<11
Acute LVF
Morphine Oxygen CPAP Adenosine (ionotropes) Nitrates Diuretics
AF - management
Rate - beta blocker
anticoag - lmwh/ doac if chadsvasc >2
cardioversion - pharma (flecainide/amiodarone if heart disease) or electrical if hf/syncope/shock/chest pain
etiology
SVT
Vagal manouvres
Adenosine infusion (if unstable))
Cardioversion
Beta blocker and ablation
