CV Flashcards

1
Q

severe heart failure

A

hyponatremia

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2
Q

PC:

- widened mediastinum and pleural effusion with amylase

A

boerhaave

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3
Q

dx vasovagal syncope

A

tilt table test

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4
Q

situational syncope

A

post-micturition

coughing fits

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5
Q

postural orthstatic hypotension sensitive marker of hypovolaemia

A

INCREASE BUN: Cr

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6
Q

3 things that increase survival for SCD secondary to v fib

A
  1. defib
  2. CPR
  3. prompt arrhythmia analysis
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7
Q

cold water on face, sudden palpitations

A

PSVT

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8
Q

elderly get orthostatic hypotension because

A

decrease baroreceptor responsiveness

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9
Q

tx of FMD

A

angioplasty and stent

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10
Q

initial tx of pulmonary HTN

A

loop + ACE

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11
Q

stop 48hrs before cardiac stress test

A
  • beta blockers
  • CCBs
  • nitrates
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12
Q

stop 12hrs before cardiac stress test

A

caffeine

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13
Q

death in peripheral vascular disease

A

MI

only 1-2% get amputation

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14
Q

symmetrical blue digits

A

NA vasospasm

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15
Q

use dependence– Class IC

A

enhanced effects with higher HR

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16
Q

increase warfarin effects

A

acetaminophen
NSAID;s
amiodarone
antibiotics

17
Q

decrease warfarin effects

A

green veggies

18
Q

burr cells=

A

echinocytes

19
Q

echinocytes seen in

A

ESRD

20
Q

spur cells seen in

A

liver disease

21
Q

2 separate conducting pathways within AV node

A

AV nodal re-entry tachycardia

22
Q

separate bypass tract from AV node

A

AV nodal re-ENTRANT tachycardia

23
Q

tx RV MI
PC:
- hypotension
- increase JVP

A

IV fluid support

24
Q

arrhythmia in digoxin toxicity

A

atrial tachycardia with AV block

25
Q

pacemaker syndrome

A

can develop

—–> first degree AV block- since prolongs PR

26
Q

AV fistulas congenital causes

A
  • PDA
  • angiomas
  • pulmonary AVF
  • CNS AVF
27
Q

AV fistulas acquired causes

A
  • trauma
  • iatrogenic
  • atherosclerosis
  • cancer
28
Q

IVDU with heart block

A

perivalvular abscess— extending into cardiac condition tissues

29
Q

HIT platelet decrease

A

decrease greater than 50% in 5-10 days

30
Q

premature atrial complexes

A

2 reversible rf’s

  • smoking
  • alcohol
31
Q

indications for carotid endarterectomy men asymptomatic

A

60-90% stenosis

32
Q

indications for carotid endarterectomy men symptomatic

A
70-99%= IA
50-69%= IIA
33
Q

indications for carotid endarterectomy women

A

sympt or asympt

= 70-99%

34
Q

pericardial effusion

A
  • water bottle heart
  • decrease heart sounds
  • cannot palpate maximal point impulse
35
Q

most common site for ectopic foci–> a fib

A

PULMONARY VEINS