Cardiovascular Flashcards

1
Q

What is tetralogy of Fallot?

A
  • large ventricular septal defect
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2
Q

Features of tetralogy of Fallot

A
  • overriding aorta
  • RV outflow obstruction
  • RV hypertrophy
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3
Q

Investigations for tetralogy of Fallot

A

echo

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4
Q

Treatment for tetralogy of Fallot

A

surgical repair

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5
Q

What is coarctation of aorta?

A
  • narrowing of aortic arch around ductus arteriosus
  • varied severity
  • associated with Turners syndrome
  • low BP in areas after narrowing
  • high BP in areas before
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6
Q

Presentation of coarctation of aorta

A
  • in neonates, weak femoral pulses
  • grey and floppy baby
  • poor feeding
  • tachypnoea
  • left ventricular heave
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7
Q

Management of coarctation of aorta

A
  • if severe, prostaglandin E used to keep ductus arteriosus open
  • surgery to correct coarctation and ligate ductus arteriosus
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8
Q

What is tachycardia?

A
  • fast hear rate
  • >100bpm
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9
Q

What is atrial tachycardia?

A

>150bpm

ECG

  • abnormal P waves
  • normal QRS
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10
Q

What is AV nodal re-entrant tachycardia?

A
  • absent P wave
  • normal QRS
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11
Q

What is ventricular tachycardia?

A
  • no P waves
  • regular wide QRS
  • no T waves
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12
Q

What is bradycardia?

A
  • slow heart rate
  • <60pbm
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13
Q

What is Wolff-Parkinson-White syndrome?

A
  • accessory pathway for conduction
  • impulse can travel to AVN but also to ventricle quicker
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14
Q

ECG changes in WPW

A

pre-excitation

  • short PR interval
  • wide QRS complex that begins slurred

ECG DIAGNOSTIC

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15
Q

Causes of WPW

A

same as prolonged QT syndrome

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16
Q

Presentation of WPW

A
  • palpitations
  • severe dizziness
  • dyspnoea
  • syncope
17
Q

Treatment of WPW

A
  • vagal manoeuvre
  • IV adenosine
  • surgery → catheter ablation of pathway
18
Q

What is the vagal manoeuvre?

A
  • breath holding
  • carotid massage
  • valsalva manoeuvre