cardiology peer teaching Flashcards

1
Q

types of AF

A

paroxysmal
persistent (lasts more than 7days)
permanent = >1yr

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2
Q

what can TIA often be the first Px of

A

AF

often unknown

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3
Q

DOACs

A

faster onset and offset than warfarin

do not need INR monitoring

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4
Q

rate control in AF

A

cardioselective CCB / B-blocker

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5
Q

findings on an ECG of WPW

A

widenened QRS

delta-wave

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6
Q

findings on an ECG of WPW

A
widenened QRS (longer time in the ventr..) (>0.12s)
delta-wave 
shorter PR (<0.12)
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7
Q

HF investigations

A
BNP:
400-900 = new onset
>1000 = been there for a while
CXR
ABG
Echo
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8
Q

HF investigations

A
BNP:
400-900 = new onset
>1000 = been there for a while
CXR
ABG
Echo
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9
Q

acute HF

A

Tx:
A-E
Furosemide IV
Catheterise

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10
Q

furosemide

A

competitivtyely inhibits Na-k-2cl cotransporter in thick ascending loop of Henle
LOOP DIURETIC

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11
Q

LT mx of HF?

A
smoking cesation advice
cardiopulmonary rehab
ACEi + B-blockers
if intol- 
Loop diuretics
cantry spiro
monitor kidney function
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12
Q

areas of the heart and corresponding leads / associated vessels - PRINT AND LEARN**

A

LEARN THESE

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13
Q

action of aspirin

A

inhibits production of TX and PGs

by inhibiting COX enzyme

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14
Q

risks of an angio (

A

chance that it might not work

trauma to adj structures

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15
Q

causes of a raised trop

A
CKD late stage
trauma to heart 
cardiac inflammation
chemo
sepsis
aortic dissection
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16
Q

what is a capture beat?

A

a normal beat in an abnormal heart rhythm…..

17
Q

8 shockable rhythms

A

pulseless vt

vf

18
Q

reversible causes of cardiac arrest

A

4Ts

4Hs
haemorrhage
all the hypers and hypos
(nb hypokal more commonly

19
Q

rhythm controlling in AF

A

IF HAEMODYNAMICALLY UNSTABLE:

  1. DC cardioversion - starting with 120-150kJ and increasing in increments if this fails..

if after 3 attempts no joy

  1. 300mg IV amiodarone via central line

IF HAEMODYNAMICALLY STABEL:
Flecanide po/IV may work