Cardiology Flashcards
Valve affected in IE in IVDU
Tricuspid
Anticoagulation for elective CV in AF
Lifelong
Verapamil is CI in what arrhythmia?
VT
Angina: Management (3 steps)
- BB or CBB
- BB & CBB
- Nitrate, ivabradine, nicorandil, ranolazine
AR: features (5)
EDM
Collapsing pulse
Wide pulse pressure
Quinckes sign (pulsating nailbed)
De Mussets sign (head bobbing)
AS: features (5)
ESM
Narros pulse pressure
Slow rising pulse
Soft/absent S2
Thrill
BNP: Increase (7)
<eGFR>70
Liver cirrhosis
</eGFR>
BNP: Decrease (6)
Obesity
Diuretics
ACEi
BB
ARB
Aldosterone antagonists
CHF: First line
ACEi & BB
CHF: Second line
ACEi & BB
& aldosterone antagonist (spironolactone / eplerenone)
CHF: AF
digocxin
CHF: non-medical
Cardiac resynchronisation therapy
- biventricular pacing
DVLA: elective angioplasty
1 week
DVLA: CABG
4 weeks
DVLA: PPM
1 week
ECG: anteroseptal
V1-4
LAD
ECG: inferior
II, III, aVF
RCA
ECG: anterolateral
V1-6, I aVL
Proximal LAD
ECG: lateral
I, aVLA, V5-6
Left circumflex
HOCM: Echo
MR
SAM (systolic anterior motion of mitral valve)
ASH (asymmetric hypertrophy)
Long QTc: Drugs
1a anti-arrhythmic
TCAs citalopram
Erythromycin
Haloperidol
Ondansetron
Long QTc: other
Electrolytes (low Ca, K, Mg)
MI
Myocarditis
Hypothermia
SAH
Post MI: bradycardia
Following inferior MI
Dressler’s syndrome
2-6 weeks post MI
Fever, pleuritic pain, effusion and raised ESR
Mx: NSAIDs
LV aneurysm
Persistent ST elevation and LV failure
WPW: ECG
Short PR
Wide QRS
