Cardio Case Of The Week

Question 1

What are the three types of capillaries?

Answer 1

Continuous
Sinusoidal (bigger gaps to allow more molecules through)
Fenestrated (even bigger gaps again)

Question 2

What is the risk score used in Scotland to asses someone’s CV risk

Answer 2

Assign

Question 3

What are the main contraindications for doing an exercise ECg

Answer 3

Chest pain at rest or at night
Any condition which would reduce left ventricular output (ie aortic stenosis; hypertrophic obstructive cardiomyopathy)
Active systemic illness
Abn baseline ecg (ie heart block bbb etc)
Suspected or confirmed lifted threatening arrhythmias

Question 4

How do you describe a murmur

Answer 4

• is it systolic or diastolic
• what type of murmur? Is it pan systolic or ejection systolic?
• where is the murmur loudest
• does it radiate anywhere
• what grade is the murmur (ie how loud is it)
• is it influenced by respiration? (Right sided are louder or inspiration