Cardiopathology treatments

Question 1

Resolves stable angina

Answer 1

ST dep.

rest or nitroglycerin

Question 2

Varient (Prinzmetal) angina

Answer 2

ST elev.
Triggers: coke, EtOH, triptans
Treat: CCBs, nitrates, smoking cessation

Question 3

Brugada sy

Answer 3

AD in asian males
ECG: pseudo RBBB and STelev in V1-3; risk of tachyarrhythmias and SCD

Tc: implantable cardiovert-defib.

Question 4

Congenital long QT

Answer 4

Ion channel defect, SCD due to TdP
Romano-Ward: AD no ear

Jervell and Lange-Nielsen- AR with sensorineural hearing loss

Avoid Class IA and III antiarrhythics

Question 5

Unstable angina/NSTEMI

Answer 5

Anticoag. (heparin), antiplatelet (ASA), + ADP-R inhibitors (clopidogrel), beta blockers, ACEIs, statins

Symptoms with nitroglycerine and morphene

Question 6

STEMI

Answer 6

Anticoag. (heparin), antiplatelet (ASA), + ADP-R inhibitors (clopidogrel), beta blockers, ACEIs, statins

Symptoms with nitroglycerine and morphene

With PCI better than TPA

Question 7

DCM

Answer 7

Na restriction, ACEIs, beta block, diuretics, digoxin, ICD, transplant

Question 8

HCM

Answer 8

stop activity,

beta block or CCBs (heart), ICD if high risk

Question 9

HF

Answer 9

ACEI or ARBs, beta block (except in acute decomp.P), and spironalactone

Thiazides and loops for symptomatic treatment

Hydralazine with nitrate therapy for symptoms and mortality in some