Cardiology

Question 1

SVT / VT / VF = No P wave

narrow / wide / child scramble

Answer 1

SVT- Young people in the absence of heart disease 150-250bpm

VF- Loss of consciousness

VT- Middle aged person with history of Coronary Heart Disease Ectopic Beats- ‘Missed beats’/ dyspnea/ dizziness; never sustained for 2hrs.

Question 2

NSAID and HEART FAILUE

Answer 2

NSAID avoided in patient with Heart Failure / CKD / IHD
Selective COX2 inhibitors should also be avoided in these patients

Prostaglandins normally DILATE the afferent arteriole of the glomerulus and thus increase FILTRATION thus ↓pre load and ↑GFR .

NSAIDs inhibit Prostaglandins , 
your afferent arteriole will constrict, 
this will lower your filtration, and so 
Urine output will lower, and 
fluid will accumulate in the body, 
which exacerbates the heart failure.

Question 3

Pulseless Collapsed Patient in ward / First thing to do