Cardiology

Question 1

Interactions with sildenafil??

Answer 1

Avoid alpha-blockers for 4 hours after sildenafil..
No nitrates or nicorandil..
Not in low BP..
Wait for 6 months if had an episode of stroke or MI..

Question 2

P2 heard and CXR showing enlarged pulmonary artery shadows, what is implicated in disease process??

Answer 2

ENDOTHELIN
{Raised levels in
primary pulmonary hypertension
myocardial infarction
heart failure
acute kidney injury
asthma}