Cardio ECG and murmurs Flashcards
ECG Findings for stable angina
Normal or ST depression
ECG findings for unstable angina
Normal or ST depression/T wave inversion
ECG findings for an NSTEMI
ST depression
T wave inversion
ECG findings for STEMI
ST elevation
Pathological Q eaves after a few days
First line investigation for heart failure
BNP-released from ventricles n response to mechanic stress
CXR findings for heart failure
ABCDE
Alveolar bat wing oedema
B Kerley B lines
Cardiomegaly
Dilated upper lobe vessels
E pleural effusion
Which valve disorders have systolic murmurs and which have diastolic
Systolic-ASMR (aortic stenosis, mitral regurg)
Diastolic-ARMS(Aortic regurg, mitral stenosis
Causes of stenosis
RHD
Congenital issues
Calcification
Causes of regurgitation
Connective tissue-Marfans, EDS
Infection: IE
Murmur of aortic stenosis
Ejection systolic crescendo-decrescendo murmur
Murmur indicative of mitral regurgitation
pansystolic murmur at the apex radiating to the axilla
Signs of Mitral stenosis
Malar flush
Diastolic murmur heard when patient lying on left side in held expiration
Signs of aortic regurgitation
Diastolic murmur at the left sternal border 4th intercostal space
Collapsing water hammer pulse
Treatment pathway for heart failure
ABAL
ACE-i and beta blocker
Aldosterone antagonist-spironolactone
Loop diuretic-furosemide
Digoxin as last resort
ECG findings first-degree AV block
Prolonged PR interval(>0.12s)