Cardiovascular Flashcards
Patient has fever and pleuritic chest pain that is relieved by sitting up and leaning forward
Pericarditis
Irregularly irregular pulse
Atrial fibrillation
ECG - saw tooth baseline +150bpm
Atrial flutter
Alveolar bat’s wings, Kerley B lines, cardiomegaly, dilated prominent upper lobe vessels pleural effusion
Pulmonary oedema
Raised JVP/hepatojugular
Right-sided heart failure
Sense of impending doom
MI
Saddle shaped ST elevation
Pericarditis
Broad complex tachycardia
Ventricular problem
Mid-diastolic murmur with tapping, undisplaced apex
Mitral stenosis
Broad QRS with slurred upstroke on R wave (delta wave)
Wolff-Parkinson-White syndrome
Tall, tented T waved
Hyperkalaemia (and wide QRS complexes)
Patient gets pericarditis 2-10 weeks post MI
Dressler’s syndrome
Janeway lesions/Osler’s nodes
Subacute bacterial endocarditis
‘Blurred yellowing vision headache’
Digoxin toxicity
Continuous machine like heart murmur
Patent ductus arteriosus
Rib notching on CXR
Coarctation of the aorta
Crescendo decrescendo murmur and slow-rising pulse
Aortic stenosis
Diminished/absent lower limb pulse
Coarctation of the aorta
Radio-femoral delay
Coarctation of the aorta or aortic dissection
MRS ASS
Mitral regurgitation systolic, aortic stenosis systolic
Systolic murmur that radiates to the neck
Aortic stenosis
Sudden tearing/ ripping chest pain, radiates to the back
Aortic dissection
Raised JVP on inspiration
Constrictive pericarditis
Flattened T waves
Hypokalaemia
Holosystolic harsh murmur
Ventricular septal defect
Pulmonary stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy
Tetralogy of fallot
Endocarditis after dental work
strep viridians
Endocarditis in IV drug users
staph aureus
Endocarditis of tricuspid valve
IV drug users
Pericardial knock
Constrictive pericarditis
Hypertension + secretion of catecholamines
Phaeochromocytoma
Early diastolic plop
Atrial myxoma
Hypertension + high aldosterone
Conn’s syndrome
Hypertension + high cortisol
Cushing’s syndrome
Murmur associated with AF
Mitral stenosis
ST elevation V2-V5
Anterior
LAD artery
ST elevation in V1-V3
Anteroseptal
Left coronary
ST elevation in I, AvL, V4-V6
Anterolateral
LAD
ST elevation in II,III, AvF
Inferior
Right coronary
ST elevation in V1-V2
Posterior
Left circumflex
Heart failure + new pansystolic murmur after MI
Ventricular septal defect
Pluse paradoxus
Cardiac tamponade