Cardiology Flashcards
Give an example of a thiazide diuretic and a side effect
Indapamide
Erectile dysfunction
Treatment of a false lumen aortic dissection
IV labetaolol
Diagnosis of a PE
CTPA
V/Q if renal impairment or pregnant
Can you prescribe a statin and eryth/clarithrymycin together
NOOOO
What type of murmur would a VSD give
Pansytolic
Treatment of bradycardia (e.g. MT2)
- atropine
2. adrenaline/isoprenaline
Treatment of torsades de points
Magnesium sulphate
1st and 2nd line for angina
1st: Atenolol
2nd: Ca Blocker (nifedipine)
Which vein runs past the anterior medial malleolus
Great saphenous vein
Side effect of adenosine
flushin
Side effect of amidarone
GREY
Management of broad complex tachycardia
VF: DC cardiovert
Broad: amiodarone
narrow: vagal/adenosine
Secondary prevention of a STEMI
2 antiplatelet (clopidogrel/aspirin)
ACEi
Statin
3 features of the murmur in ASD
Ejection systolic
On inspiration
Splitting of the second heart sound
4 features of the murmur in tricuspid regurg
High pitched
Pansystolic
Left sternal edge
Inspiration
ECG in tension pneumo
Pulseless electrical activity
ECG in PE
Sinus tachy
Medication if AF and asthma
Diltazepem
2 features of sydenhams chorea
Infection (rheumatic fever)
Child
Which drug is contraindicated in ventricular tachycardia
Verapamil
3 features of a left ventricular aneurysm
ST elevation 4 weeks post MI
Bibasal crackles
3rd and 4th heart sound
MI in leads II, III, aVF
Right coronary (inferior)
What does p mitrale cause and give an example
left atrial hypertrophy /strain
e.g. mitral stenosis
Imaging for dissection
1st: CT
2nd: transoesopahgeal echo
What can thiazide diuretics do to the heart
Cause hypokalaemia
1st heart block ‘u waves’
Management of ACS if you treat with fibrinolysis
Repeat ECG 60-90 mins
PCI if still ST elevation
What ECG change can a dissection cause
ST elevation
4 features of Takayasus arteritis and who is it most common in?
Renal artery stenosis
Headache
Claudication
Unequal BP
Asian
Global T wave inverstion
NOT an MI
Creatinine in ACEi
Increase to 30% of normal
Side effect of amiodarone
Thrombophlebitis
At what blood pressure do you start getting end organ damage
BP above 180/120
Infection in IV drug users
Infective endocarditis in the tricuspid valve
If the INR is 5-8 with no bleeding
Without 1/2 dose and reduce the main dosage
Management of a witnessed cardiac arrest on the monitor
3 shocks
Side effect of macrolide ABx e.g. erythromycin
Increase QT interval
Subclavian steal syndrome
Dizzy and vertigo on exertion of the arm
If patient in VF
1 shock
2 min CPR
Side effect of ACEi
Angioedema
Management of new onset AF
Cardiovert in 48 hrs
Heart sound in pulmonary hypertension
Loud S2
Do you give ABx prophylaxis for infective endocarditis e.g. at the dentist
NO
If the pt is hypotensive in an MI what would you not give them
Nitrate
Imaging for an aortic dissection
CT angio
Antiarrhythmic for heart failure
Class 3 amiodarone
Acute pericarditis ECG and presentation
Widespread ST elevation
Pain worse when sitting forward
Treatment of acute pericarditis
NSAID and colchine
Heart defect in coarctation of the aorta
Bicuspid aortic valve
Medication for fibronolysis in STEMI
Fondaparinux (antithrombin)
Pulmonary stenosis murmur
Mid ejection systolic loudest on inspiration
When would you anticoagulate after a stroke caused by AF
2 weeks after
Murmur in aortic regurg
Early diastolic
Right sternal edge
Tall R waves in V1-2 - which MI
Posterior MI
When would you replace the aortic valve
Increased 40mmHg
Sx
Severe dysfunction
What ECG change does citalopram cause
Long QT (SSRI)
What would you give if a patient was unable to tkake amiodarone
Lidocaine
Atenolol and verapamil together =
HEART BLOCK
1st line anti anginal in heart failure
Bisoprolol
DO patients build up a tolerance to nitrate?
Yes
4 features of pulsus paradoxus
Tamponade
Reduced bp
Increased JVP
Reduced heart sounds
Non shockable rhythm
Give adrenaline
Features of a non-shockable rhythm
pulseless organised electrical activity
