Cardio Flashcards
Patient has fever and pleuritic chest pain that is relieved by sitting up and leaning forward
Pericarditis
. Irregularly irregular pulse
Atrial Fibrillation
ECG - saw tooth baseline + 150 bpm
Atrial Flutter
Alveolar bat’s wings, Kerley B lines, cardiomegaly, dilated prominent upper lobe vessels, pleural effusion
Pulmonary oedema
Raised JVP/hepatojugular
Right-sided heart failure
Sense of impending doom
MI
Saddle shaped ST elevation
Pericarditis
Broad complex tachycardia
Ventricular problem
Mid-diastolic murmur
Mitral Stenosis
Tapping, un-displaced apex beat
Mitral Stenosis
Broad QRS with slurred upstroke on R wave (delta wave)
Wolff-Parkinson White syndrome
Tall, tented T waves
Hyperkalaemia (and wide QRS complexes)
Patient gets pericarditis 4-6 weeks post MI
Dressler’s syndrome
“Blurred yellowing vision headache”
Digoxin Toxicity
Janeway Lesions/Osler’s Nodes
Subacute bacterial endocarditis
Continuous Machine like Heart Murmur
Patent Ductus Arteriosus (PDA)
Rib Notching on CXR
Coarctation of the aorta
Crescendo decrescendo murmur
Aortic Stenosis
Diminished/absent lower limb pulses
Coarctation of the aorta
MRS ASS
Mitral Regurgitation Systolic, Aortic Stenosis Systolic
Slow rising pulse
Aortic stenosis
Collapsing pulse
Aortic regurgitation
Bounding pulse
Acute CO2 retention, sepsis
Radiofemoral delay
Coarctation of aorta
Jerky pulse
Hypertrophic Obstructive Cardiomyopathy
OR mitral regurgitation
Pulsus bisferiens
Hypertrophic Obstructive Cardiomyopathy
biphasic pulse
Pulsus paradoxus
Cardiac tamponade, constrictive pericarditis
Raised, fixed JVP
SVC obstruction
JVP rising on inspiration
Cardiac tamponade, constrictive pericarditis
Side effect of ACEI
Dry cough
Contraindicated in Renal artery stenosis
Radial-radial delay
Aortic dissection/coarctation of aorta
Splinter haemorrhages
Infective endocarditis
Infective endocarditis organisms
Prosthetic valves or IV drug users = staph aureus
In mouth after dental surgery = strep viridans
Atrial myxoma
Non-cancerous tumour in upper left/right side of heart; most often grows on wall that separates the two sides.
Cardiac tamponade
Collection of blood/fluid/pus/clots/gas around the heart/pericardial space that prevents contractions. Medical emergency.
Treatment of pericarditis
Pain relief; NSAIDs (non-steroidal anti-inflammatory drug)
Tetralogy of fallot
Congenital heart disease.
1) large ventricular septal defect
2) overriding aorta
3) right ventricular outflow obstruction
4) right ventricular hypertrophy
Wide pulse pressure
Aortic regurgitation
Also aortic dissection, complete heart block, thyrotoxicosis, persistent ductus arteriosus
Absent ‘a’ waves
AF
Cannon ‘a’ waves
Complete heart block
Loud first heart sound
Mitral Stenosis
Displaced, overloaded apex beat
HLHS valve regurgitation
Soft first heart sound
Mitral Regurgitation
Narrow pulse pressure
Aortic Stenosis
Soft second heart sound
Aortic Stenosis
Malar flush
Mitral Stenosis
Pulsatile hepatomegaly
Tricuspid Regurgitation
Corrigan’s sign
i.e. Collapsing pulse
= Aortic Regurgitation
de Musset’s Sign
Aortic Regurgitation
Head nodding
Capillary pulsations in nail-bed (Quincke’s sign)
Aortic Regurgitation
Pistol-shot heard over femorals (Traube’s sign)
Aortic Regurgitation
Fixed split second heart sound
ASD (atrial septal defect)
Cyanosis first day of life
Chest x-ray: egg-shaped ventricles
Transposition of the great vessels
Cyanosis first month of life
Chest x-ray: boot-shaped heart
Tetralogy of Fallot
Bifid ‘p’ wave
Mitral Stenosis
Peaked ‘p’ wave
Tricuspid Stenosis
S I, Q III, T III pattern
deep S waves in I, Q waves in III, inverted T waves in III
PE
Flattened ‘t’ waves, prominent ‘U’ waves (muscle weakness, cramps, tetany)
Hypokalaemia
Long QT (which electrolyte imbalance)
Hypocalcaemia
Reciprocal changes V1, V2 (tall R waves, ST depression, tall upright T waves)
Posterior MI
drug causing - impotence
beta blockers
drug causing - cold peripheries
beta blockers
drug causing - SOB
beta blockers
drug causing - dry cough
ace inhibitors
drug causing - Gynaecomastia
spironolactone
drug causing - constipation
verapamil
drug causing - ankle oedema
nifedipine
drug causing - gout
thiazide diuretics
drug causing - increased hair growth
minoxidil
drug causing - SLE (lupus)
hydralazine
Distant heart sounds, distended jugular veins, decreased arterial pressure
acute cardiac tamponade (Beck’s triad - 3Ds)
Shock and new systolic murmur, days after MI
Ventricular septal defect
Rhythm where patient is pulseless and cardioversion is always required
VF
Alcohol-related heart abnormality
Dilated cardiomyopathy
Young, healthy person collapses and dies upon exertion
Hypertrophic obstructive cardiomyopathy
Strawberry milkshake coloured blood
Hyperlipidaemia
drug causing - slate grey rash
Amiodarone