Cardiology Flashcards
most commonly involved artery in MI
LADA > RCA > LCA
LADA > RCA > LCA
most commonly involved arteries in MI
LADA supplies
ant wall + ant septum of LV
supplies ant wall + ant septum of LV
LADA
rheumatic fever is the most common cause of
mitral stenosis
mitral stenosis is most commonly caused by
rheumatic fever
prinzmental angina
episodic CP that occurs at rest, due to coronary a vasospasm
episodic CP that occurs at rest
prinzmental angina
ECG changes seen in prinzmental angina
STE, due to transmural ischaemia
HTN clinic + average values
clinic >140/90, average daytime >135/85
start CaChB as 1st line for HTN in
people >55y.o. or of Afro-Caribbean descent
people >55y.o. or of Afro-Caribbean descent 1st line for HTN
start CaChB as 1st line
start ACEi as 1st line for HTN
people <55y.o.
people <55y.o. with HTN 1st line is
ACEi
Brugada S
ECG abnormality in a structurally N heart, mutation in cardiac Na+Ch gene (Na channelopathy), high incidence of sudden death, males > females
ECG abnormality in a structurally N heart, mutation in cardiac Na+Ch gene (Na channelopathy), high incidence of sudden death, males > females
Brugada S
Brugada S diagnostic criteria
coved STE (>2 sm square, >1 V1-3 lead) followed by inverted T, plus one of: doccumented VF, polymorphic VT, FH of sudden cardiac death <45 y.o., coved-type ECG in family members, syncope, nocturnal agonal respiration
coved STE (>2 sm square, >1 V1-3 lead) followed by inverted T, plus one of: doccumented VF, polymorphic VT, FH of sudden cardiac death <45 y.o., coved-type ECG in family members, syncope, nocturnal agonal respiration
diagnostic criteria for Brugada S
Brugada S management
risk stratification, diagnostic testing, ICD
long QT S
females > males, syncope, increasing age, comorbidities, athletes
females > males, syncope, increasing age, comorbidities, athletes
long QT S
cardiac tamponade
chest trauma, quiet hears sounds, cool peripheries, bx coarse crackles (suggestive of early pulmonary oedema), hypotension, tachycardia, low V QRS, pericardial frictional rub, distended nek v, hepatomegaly
chest trauma, quiet hears sounds, cool peripheries, bx coarse crackles, hypotension, tachycardia, low V QRS, pericardial frictional rub, distended nek v, hepatomegaly
cardiac tamponade
cardiac tamponade management
ECHO guided pericardiocentesis
ECHO guided pericardiocentesis is the management for
cardiac tamponade