Cardiovascular Flashcards
1
Q
Causes of low Voltage Complex ECG
A
- Obesity
- Pericardial effusion
- Lung disease
- Myocardial infiltration (amyloidosis)
- mediastinal processes
2
Q
Beck Triad
A
(Cardiac tamponade)
- Hypotension
- Muffled heart sounds
- Distended neck veins
3
Q
Right ventricular infarct
- leads
- Contraindication
A
- V4 on R sided ECG
2. Nitro (GTN)
4
Q
R ventricular MI Tx
A
Vigorous fluids
5
Q
A positive stress test is when..
A
- CP reproduced
- Hypotension
- ST depression
6
Q
Next step if +ve Stress test..
A
Coronary angiography
7
Q
Contraindications to EKG stress test
A
- Old LBBB
- Baseline ST elevation
- Digoxin
8
Q
ECG characteristics of LBBB
A
- No R wave in V1
- Deep S wave in V1 - V3
- Wide R waves (M) in lateral leads
9
Q
WPW Tx
- Pulseless
- HD unstable
- HD stable
A
- CPR
- Electrical cardioversion
- Assess underlying rhythm
10
Q
Txs contraindicated in WPW Syndrome
A
- AV nodal blocking agents
(CCB, Beta Blockers, Digoxin) - Vagal maneuvers
11
Q
Tx for WPW tachycardia
A
Procainamide
12
Q
To of Torsades in HD stable pt
A
IV MgSO4
13
Q
First line to in SVT
Medication?
A
- Carotid massage
2. Adenosine
14
Q
Hyperkalemia ECG
A
- Tall pealed T waves
- Widened QRS
- Flattened P wave -> Absent
- Sine wave pattern
- V Fib and Asystole
15
Q
Indication for long term Anti Coag. In AFib pt..
A
- CHA2 DS2 VASc =/> 2(M), 3(F)
- Valvular Disease
- Hyperthrophic Cardiomyopathy
