Cardiology risk factors CC

Question 1

Stent thrombosis risk factors

Answer 1

• P2Y12 discontinuation,
• acute coronary syndrome presentation,
• diabetes mellitus,
• side-branch stenting,
• greater stent length,
• suboptimal stent apposition

Question 2

Pericarditis: Predictors of poor prognosis

Answer 2

Major
• Fever >38°C
• Subacute onset
• Large pericardial effusion
• Cardiac tamponade
• Lack of response to aspirin or NSAIDS after at least I week of therapy

Minor:
• Myopericarditis
• Immunosuppression
• Trauma
• Oral anticoagulant therapy

Question 3

Predictors of hospital morbidity and mortality in acute decompensated heart failure

Answer 3

The ADHERE (Acute Decompensated Heart Failure National Registry) found that the single best predictor for mortality was an elevated blood urea nitrogen (≥ 43 mg/dL), followed by low SBP (< 115 mmHg), and high serum creatinine (≥ 2.75 mg/dL).

Anemia and hyponatremia are common in patients with advanced HF and predict adverse outcomes in the long term and not in the short term.