Cardiolovascular Flashcards
AV block is seen in this MI
inferior MI
most common location MI
LAD
summary key complications following MI
- VF: most common cause death >MI
- dressler’s syndrome: 2-6 weeks
- LV aneurysm: persistent ST elevation; anticoagulate due to risk of stroke
- LV free wall rupture: cardiac tamponade
- VSD: 1st week; HF w/ pansystolic
- acute mitral regurgitation: pap. muscle rupture; acute hptn & pulmonary oedema
stokes-adams attack associated with
complete heart block
valve most commonly affective in infective endocarditis
Infective endocarditis in intravenous drug users most commonly affects the
mitral valve
tricuspid
acute vs critical limb ischaemia
acute: days, 6Ps
chronic: weeks
- shortened QT
- tall tented T waves
- prolonged QT, ST depression, flat T
- U waves
- J waves
- hypercalcaemia
- hyperkalaemia
- hypocalcaemia
- hypokalaemia
- hypothermia
- alternating QRS amplitude
- Downsloping ST depression with biphasic T waves
- pericardial effusion
- myocardial ischaemia or digoxin toxicity
leg ulcers mx
varicose: emollient + compression stockings
PAD: atorvastatin + clopidogrel
aortic stenosis mx
asymptomatic then observe
symptomatic then surgery
asymptomatic + gradient > 40mmHg consider surgery
Screening for an abdominal aortic aneurysm consists of a
single abdominal ultrasound for males aged 65
Following elective DC cardioversion for AF, anticoagulation should be continued
lifelong even if sinus rhythm is maintained
NSTEMI management: patients with a GRACE score > 3% should have
coronary angiography within 72 hours of admission
Aortic stenosis - most common cause:
younger patients < 65 years:
older patients > 65 years:
bicuspid aortic valve
calcification
use this in the case of atropine allergy
TV pacing // adrenaline
avoid tolerance to Standard release isosorbide mononitrate
a nitrate-free interval of 10-12 hours per day is often recommended.
Complete heart block following an inferior MI is NOT an indication for …, unlike with an anterior MI
pacing in anterior MI
atropine in inferior MI
nitrites contraindicated in
hypotension
aortic stenosis
when will u PCI after fibrinolysis
if 60-90 mins ECG doesn’t show resolved ST elevation
… should never be taken concurrently - possibility of heart block and fatal arrest
Verapamil and beta-blockers
this medication is contraindicated in vent tachy
varapamil
Heparin overdose may be reversed by …
protamine sulphate
