Cardiology Flashcards
1
Q
What are management options for VT (with pulse)?
A
Amiodarone (150 mg over 10 min)
MgSO4 (2g over 2 hours)
Procainamide (? Dose)
Beta-blockade (esmolol, ???)
2
Q
Management of rapid atrial fibrillation?
A
CV vs not CV Diltiazem (doses, when push vs hang) Metoprolol Amiodarone Procainamide Flecanide
3
Q
Rate of VTE at 12 hours, 24, 48 hours after cardioversion?
A
Not sure
4
Q
What are the original Sgarbossa criteria for STE in LVH? (3)
A
- Concordant STE > 1mm in leads with a positive QRS complex (+5)
- Concordant STD > 1 mm in V1-V3 (+3)
- Excessive discordant STE > 5 mm in leads with a -ve QRS (+2)
–> score >= 3 ~sp 90% for dx MI
5
Q
Stages of endocarditis on ECG?
A
Ste
Pr
6
Q
Management of pericarditis?
A
NSAIDS
COLCHI
7
Q
Name 3 rhythms/ECGs in which STEMI is difficult to diagnose? Why?
A
LBBB + ventricular paced rhythm – baseline ST segs and T waves often shifted in a discordant direction (“appropriate discordance”), can mask/mimic AMI
LVH –