Cardiology pastest learning Flashcards
What are the ecg changes in a posterior stemi?
ST depression in V2-V4 with peaked R wave in V2.
What ECG changes would be seen in an anterolateral infarction?
Lead 1, V3-V6, AVL
(Anterior leads are represented by V3 and V4 and supplied by LAD. Left circumflex supplies lateral aspect and represented by 1, V5 and V6)
What artery supplies the posterior aspect of the heart
Right coronary artery
What ECG areas would show an inferior infarct?
Lead ii, iii, avf
What artery supplies the inferior myocardium?
Right coronary
What ECG leads represent a lateral infarct?
Leads I, V5 and V6
What artery supplies the lateral aspect of the left ventricle?
Left circumflex
What is CHADsVASC ?
CHADS2VASc
Congestive HF (1)
Hypertension (1)
Age >75 (2)
Diabetes (1)
Stroke/TIA (2)
Vascular disease (1)
Age 65-74 (1)
Sex Category female (1)
What is the second line option for HF heart rate control in patients who cannot tolerate bisoprolol?
Ivabradine (reduces hospitalisation for HF by 18% in the SHIFT trial)
What is the initial treatment for patients with HOCM presenting with dyspnoea?
Beta Blockers
What are giant a waves of the JVP a sign of?
impaired right atrial emptying seen in both tricuspid and pulmonary stenosis.
What are the features of noonan’s syndrome?
Autosomal dominant inheritance
Facial features include wide forehead, wide spaced eyes, neck webbing. Short stature.
Associated with Pulmonary Stenosis.
What are the key features of a somatostatinoma?
It’s a neuroendocrine tumour originating from the delta cells of the pancreas / duodenum. It produces excessive somatostatin.
Triad of diabetes, diarrhoea and gallstones.
Also experience weightloss and hypochlorhydria.
What is Multiple Endocrine Neoplasia (MEN) Type 1 associated with ?
- parathyroid tumours
- pituitary tumours
- pancreas tumour
What is MEN Type 2A associated with ?
- Parathyroid tumour
- Phaeochromocytoma
- Medullary cancer
