Cardiology Flashcards
what medication lower mortality in systolic dysfunction
ACE inhibitors/ARBs
Beta blockers
spironolactone/eplerenone
sytolic dysfunction treatment
ACE inhibitors/ ARBS beta blockers spironolactone diuretics Digoxin
What medications can be used instead of ACE - and ARBS that lowers mortality in patients with systolic dysfunction
Hydralazine/nitrates
Device for CHF that lowers mortality in systolic dysfunction
implantable defibrillator
Medications used in treatment of diastolic heart failure
Beta blocker
Diuretics
treatment of stable angina
Aspirin
bet blockers
nitrates
treatment for unstable angina/ non-ST elevation MI
aspirin beta blockers nitrates heparin GP IIb/IIIa inhibitors
Treatment for STEMI
aspirin beta blockers nitrates Thrombolytics heparin (only after thrombolytics)
Indiacations for using thrombolytics
STEMI or new LBBB
Start within 12 hours of onset of chest pain and within 30 minutes after arriving to the ER
indications for using clopidogrel or prasugrel
- Aspirin allergy
2. Acute MI
positive ionotropic agents used in patients with CHF
Dobutamine
Amrinone
Milrinone
indications for using implantable defibrillator
used in patients whose EF <35%
indications for biventricular pacemaker
Used when EF< 35% and QRS above 120msec.
maneuvers that work on preload (venous return)
Squatting & leg raise- increases venous return, therefore increases the intensity of murmur
Valsalva and standing up- decreases venous return therefore decreases intensity of the murmurs
maneuvers that work on Afterload
Handgrip
Amyl Nitrate