cardiology Flashcards
1
Q
The nonspecific reaction to myocardial injury is associated with?
A
- polymorphonuclear leukocytosis, which appears within a few hours after the onset of pain and persists for 3–7 days
- ESR rate rises more slowly than the white blood cell count, peaking during the first week and sometimes remaining elevated for 1 or 2 weeks.
2
Q
Drug induced pericarditis:
A
- Hydralazine
- isoniazide
- procainamide
- minoxidil
- phenytoin
3
Q
HCM
A
- SCD 0.5% בשנה
- sustained vt or scd
- סונקופה ללא הסבר חלופי
- עובי מחצית מעל 30 מ״מ
- אירוע קטדם של nsvt
- ירידה או היעדר עליה בליץ דם בזמן מבחן מאמץ
4
Q
Cardiac CT:
A
- רגישות 99%
- סגליות 90%
- NPV HIGHT
- ## ניתן להעריך סטינטים גדולםי מעל 3 מ
5
Q
Paradoxical Pulse:
A
the presence of cardiac tamponade consists of a greater than normal (10 mmHg) inspiratory decline in systolic arterial pressure
6
Q
Postcardiac Injury Syndrome:
A
- 1–4 weeks after the cardiac injury
- Recurrences are common and may occur up to 2 years or more following the injury
7
Q
kussmaul sign:
- constrictive pericaditis
- restrictive cardiomio
- RVMI
- TS
A
- אין ירידה בגודש\לחץ ורידי צוואר ורידי בעת שאיפה, מצב זה מיוחס לחוסר היענות של חדר ימין
8
Q
.TAKOTSUBO CARDIOMYOPATHY
A
- Cardiac MRI demonstrates diffuse myocardial edema without necrosi
- magnesium for arrhythmias related to QT prolongation
- Recurrences have been described in up to 10% of patients
9
Q
ABDOMINAL AORTIC ANEURYSMS
A
- males > female.
- AAA ≥4.0 cm may affect 1–2% men aged >50 years.
- calcified outline of the aneurysm; ~25% of aneurysms are not calcified and cannot be visualized by x-ray imaging.
10
Q
AAA
A
- US 65–74 years was risk reduction in aneurysm-related death of 42%.
- After acute rupture, the mortality rate
of emergent operation is 45–50%. - > 5.5/ more than 0.5 in year.
11
Q
Catheter ablation has a 2–7% risk of major procedure-related complications,
A
- stroke (0.5–1%).
- cardiac tamponade (1%)
- phrenic nerve paralysis,
- bleeding from femoral access sites, - - - fluid overload with heart failure, which can emerge 1–3 days after the procedure
- fistula between the left atrium and esophagus <0.1%, has presents as endocarditis and stroke10 days to 3 weeks after the procedure. Diagnosis is made by chest CT scan with water-soluble oral and IV contrast
12
Q
cardiotoxicity
A
- Doxorubicin reduction of EF.
- Cardiotoxicity is highest when anthracyclines are administered in conjunction with trastuzumab.
- Cardiotoxicity is highest when anthracyclines are administered in conjunction with trastuzumab.
- carfilzomib, appears more cardiotoxic than bortezomib( MM).
13
Q
Cardiotoxicity
A
hydrocarbons, fluorocarbons, arsenicals, lead, and
mercury
14
Q
Riociguat
A
CTEPH
14
Q
פיצול פרדוקסלי של הקול השני
A
- HOCM
- LBBB
- AS
- RVMI
14
Q
Wide complex tachycardia
A
- VT
- SVT\AF
- WPW
15
Q
פיצול רחב קבוע של קול שני
A
ASD
16
Q
פיצול רחב לא קבוע
A
- RBBB
- PE
- PULMONARY STENOSIS
17
Q
BB
A
- Metoprol succinate
- Metoprolol fumarate