Cardiovascular Flashcards
Cardiac output =
Stroke volume x HR
Normal HR
60-100 bpm
Systolic blood pressure
Shouldn’t exceed 140 mm HG
1st Korotkoff sound
Diastolic blood pressure
Shouldn’t exceed 90 mm HG
5th Korotkoff sound
P
Atrial depolarisation
QRS
Ventricular depolarisation
CPR
30 compressions, 2 breaths
Centre of chest
Only stop if signs of life
V2-5
Anterior
II, III, aVF
Inferior
I, V4-6, aVL
Anterolateral
Shock Procedure
- Shock
- CPR (for 2 mins)
Repeat. Adrenaline every other shock
Blood flow
- Directly proportional to blood viscosity and vessel length
- Inversely proportional to radius of vessel to power of 4
MAP=
Diastolic pressure + 1/3(systolic - diastolic pressure)
Which two arrhythmias are shokable
Ventricular Tachycardia and Ventricular fibrillation
Heart block where PR interval is prolonged
First degree heart block
Heart block where PR intervals progressively increase till a QRS is missed
Second degree heart block - Mobitz type 1
Heart block where there are multiple P waves for each QRS
Second degree heart block - Mobitz type 2
Heart block where there is no relation between P and QRS segments
Complete heart block
A blood pressure over 140/90 mmHG requires what
Ambulatory monitoring
A blood pressure over 180/110 mmHG requires what
Immediate treatment
An irregularly irregular pulse signifies
Atrial fibrillation
A slow-rising pulse signifies
Aortic stenosis
A collapsing pulse signifies
Aortic regurgitation
- Early diastolic murmur and wide pulse pressure
- Mid diastolic and Malar flush
- Ejection-Systolic and narrow pulse pressure
- Pansystolic
- Aortic regurgitation
- Mitral stenosis
- Aortic stenosis
- Mitral regurgitation
Roth’s spots (retinal haemorrhage), Osler’s nodes (swellings on fingers and toes)
Infective endocarditis
Chest pain after exertion
Angina
Treatment for Angina
GTN spray
Treatment for Atrial Fibrillation
Digoxin
Treatment for Persistent atrial fibrillation
Shock
Treatment for ventricular tachycardia
Amiodarone
Treatment for bradycardia
Atropine
Treatment for Supraventricular tachycardia
Valsalva manoeuvre
then IV adenosine/verapmil
Treatment for hypertension
A (-pril) or C (if >55yrs or black)
A+C
A+C+D
Add beta blocker (-sartan)
Treatment for MI
diMorphine O2 (if O2<94%) Nitrates Aspirin Cloipidogrel/prasugrel Percutaneous coronary investigation (PCI)
Young patient, Collapses during exercise?
Hypertrophic Cardiomyopathy