Cardiology Flashcards

1
Q

Biggest risk factor for for angina

A

DM

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2
Q

Ways to dx CAD

A
Q waves (prior MI)
stress EKG/echo
coronary angiography (gold standard)
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3
Q

Tx for CAD (3)

A

ASA
metoprolol/atenolol
nitrates

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4
Q

Tx for unstable angina/STEMI (7)

A
Beta blocker
ACEI
ASA
statins
IV heparin
nitro
O2
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5
Q

MI complications (4)

A

Free wall rupture (14 days)
papillary m. rupture (mitral regurg)
Dressler’s syndrome
ventricular aneurysm

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6
Q

Number 1 cause of CHF

A

ischemic heart disease

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7
Q

Tx for CHF

A
Furosemide
ACEI
Beta blocker
spironolactone (stage III and IV)
digitalis
hydralazine (alternative to ACEI)
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8
Q

Meds contraindicated with CHF (3)

A

metformin
thiazolidnediones
NSAIDs

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9
Q

Tx for paroxysmal SVT

A

IV adenosine

digoxin/ablation

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10
Q

Tx for dilated cardiomyopathy (4)

A

digoxin
diuretics
vasodilators
anticoagulation

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11
Q

Tx for hypertrophic cardiomyopathy

A

beta blockers/CCBs

avoid intense exercise

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12
Q

Tx for acute pericarditis

A

NSAIDs

colchicine

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13
Q

Sx seen with pericardial effusion

A

electrical alternans (changed waveforms in EKG)

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14
Q

Tx for mitral stenosis

A

diuretic
Beta blocker
ballon valvuloplasty

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15
Q

Sx of aortic stenosis (3)

A

dyspnea
syncope
heart failure

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16
Q

Sx of aortic regurg

A

wide pulse pressure

orthopnea

17
Q

Causes of mitral regurg (5)

A
MVP most common
endocarditis
papillary m. rupture
RF
Marfans
18
Q

Cause of mitral stenosis

A

rheumatic fever

19
Q

Tx for mitral regurg

A

vasodilators

anticoagulation for Afib

20
Q

Causes of tricuspid regurg (4)

A

IV endocarditis
carcinoid syndrome
SLE
Ebstein anomaly

21
Q

Tx for rheumatic fever

A

penicillin

NSAIDs

22
Q

Causes of sterile endocarditis

A

marantic-maligancy

Libman-Sacks fro SLE

23
Q

Tx for HTN emergency

A

decrease MAP 25% in 1-2hrs
hydralazine
nitroprusside
labetalol

24
Q

Causes of AAA

A

atherosclerosis #1
HTN
vasculitis
smoking

25
Q

Risk factors for PVD

A

smoking #1
CAD
HTN

26
Q

Dx of PVD

A

ABI<0.4, rest pain with limb ischemia

27
Q

Tx for PVD

A

1 is smoking cessation

exercise/ASA
cilostazol

28
Q

Tx for acute arterial occlusion

A

IV heparin

limb ischemia okay if <6hrs

29
Q

Tx for cardiogenic shock

A

DA and NE

30
Q

Tx for neurogenic shock

A

IV fluids