Cardiovascular Flashcards
What is CHADS2?
Risk score for stroke in AF:
- CHF
- HTN
- Age >75yo
- DM
- Stroke (2)
What are the management considerations in AF?
- rate vs. rhythm
- stroke risk vs. bleeding risk
What is the management of SVT?
- Vagal maneouvres
- Adenosine
- IV verapamil
- Catheter ablation in the above fail
What types of tachycardias are broad complex?
Ventricular
What type of AV block? PR >0.2, P followed by QRS
First degree
What type of AV block? Progressive PR lengthening, until PR is blocked
Second degree (I)
What type of AV block? Absence of AV conduction
Third degree
What type of AV block? Intermittent PR non-conduction but no progressive PR lengthening
Second degree (II)
What does S3 indicate?
Dilate left ventricle: MR or AR, dilated CM
What does S4 indicate?
Stiff ventricle: HTN, AS, hypertrophic CM
What are the signs of RHF?
- Elevated JVP
- S3
- Peripheral oedema, ascites, pleural effusions
What is an ACS?
Acute coronary thrombosis: STEMI, NSTEMI, unstable angina, SCD
When is PCI preferred over fibrinolysis?
- Skilled lab
- Door to balloon time
When is fibrinolysis preferred over PCI?
- Early presentation
- Invasive therapy not an option
- Delay to invasive option
What are some adjunctive therapies in an AMI?
- O2
- IV morphine
- Aspirin
- IV heparin or S/C clexane
- IV GTN
- Additional antiplatelets if stent inserted: clopidogrel, ticagrelor
- Beta-blockers, ACEI