Cardiology Flashcards
How long should we discontinue acei before start valsartan-sacubitril
At least 36 hours
Fabry disease check which enzyme
Serum alpha galactosidase
Surgical repair of the ascending aorta in bicuspid aortic valve with severe aortic stenosis or severe aortic regurgitation when diameter greater than
4.5cm
Surgical repair of the ascending aorta in bicuspid aortic valve with no severe aortic stenosis or severe aortic regurgitation when diameter greater than
5.5 cm or 5.0 if patient has risk factor for dissection.
Which medication can slow the rate of progressive aortic root dilation in patient with Marfan aortopathy even without hypertension
Angiotensin receptor blocker
Interleukin 1 receptor antagonist for colchicine resistant, glucocorticoid dependent pericarditis which is approved by FDA
Rilonacept
Anakinra is not approved by FDA yet
When should we start iv ig for pericarditis
Resistant to glucocorticoids
Is the risk of angioedema of valsartan sacubitril higher or lower than acei or arb
Higher
Severe mitral stenosis is defined by a mitral valve area of
1.5 cm2 or less
PFO closure use for people less than … years old
60
Treatment for PFO if patient more than 60 years old or decline PFO closure
Aspirin for sure
Anticoagulation can be used but not effective
Icosapent ethyl is used to treat
Hypertriglyceride
What is this sign?
The height of the waveform does not fall or may increase during inspiration
Kussmaul sign
Mechanical prothetic valve
Warfarin dose less than 5mg/d
Pregnancy
Continue warfarin
If dose more than 5mg/d will do lovenox
When do we use toe brachial index
When resting ABI is greater than 1.40
Increase LV wall thickness
Fatigue
Burning dysesthesia in the extremities
Angiokeratoma
Fabry disease
Which cytochrome P450 inhibitor does diltiazem and verapamil inhibit
3A4
How diltiazem and verapamil increase dose of ibrutinib
Inhibit cytochrome P450 3A4
