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CK > CVS > Flashcards

CVS Flashcards

1
Q

Gold standard for diagnosing Cor pulmonale

A

Catheterization: Pulmonary artery systolic pressure

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2
Q

_______ is used to diagnose suspected renal artery stenosis or suspected renovascular disease

A

captopril enhanced radionuclide renal scan

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3
Q

CHA2 DS2 VASc score used for

A

atrial fibrillation

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4
Q

______ lowers the rate of recurrent pericarditis

A

colchicine

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5
Q

Acute pericarditis treatment
1st line:
2nd line:

A

1st line: NSAIDs/Colchicine

2nd line: Prednisone

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6
Q

Maximal heartrate in sinus tachycardia can be determined by _____

A

(beats/min = 220 - age)

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7
Q

Atrial flutter origin

A

atrial flutter involves a reentrant circuit around tricuspid annulus, with slowing of impulse through a region known as cavotricuspid isthmus.

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8
Q

Diagnosis of vasovagal syncope is _____

In uncertain cases _____

A

Clinical

• upright tilt table testing

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9
Q

Symptoms of vasovagal syncope improves with

A

supine position with legs raised

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10
Q

Immediate defibrillation required in?

A

VF

pulseless VT

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11
Q

Synchronized cardioversion required in?

A

persistent, narrow or wide QRS complex tachyarrythmias (A Fib, A flut, VT with a pulse) causing hemodynamic instability

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12
Q

comotio cordis

A

athletes without prior cardiac condition can develop fatal ventricular fib after sudden blunt chest trauma

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13
Q

Arrhythmia diagnostic of digoxin toxicity:

A

Atrial tachycardia with AV block

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14
Q

_____ is useful in the management of cocaine induced coronary vasospasm.

A

Benzodiazepines

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15
Q

Guidelines for PCI in acute STEMI

A

• within 12 hours of symptoms onset
• within 90 mins from medical contact to device time at PCI-capable facility
OR
• within 120 minutes from first medical contact to device at a non-PCI-capable facility

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16
Q

Mechanism of periinfarction ventricular arrythmias:

A

within 10 mins: immediate or phase 1a → reentrant arrhythmias
within 10-60 mins: delayed or phase 1b arrhythmias → abnormal automaticity

17
Q

Treatment of cholesterol crystal embolism

A
  • Supportive

* Reinforces use of statin therapy

18
Q

cholesterol crystal embolism vs dye induced nephropathy

A

cholesterol crystal embolism: persistent renal failure >2 weeks
DYE INDUCED: resolves in <1 week (begins to resolve within 3-5 days)

19
Q

Treatment of Peripheral artery disease

A

Supervised graded exercise + low grade asprin + statins

Smoking cessation, aggressive DM control (HbA1c<7) and BP control

20
Q

heparin vs warfarin in PAD?

A

heparin in acute

warfarin has no role in chronic management of PAD

21
Q

treatment of peri-infarction pericarditis and contraindication?

A

Supportive, Acetaminophen for pain

avoid NSAIDs/ steroids for 7 days to avoid risk of free wall rupture

22
Q

PIP is best prevented by?

A

early coronary reperfusion

23
Q

patient presenting in the emergency department with chest pain and suspected ACS should be administered ______ as soon as possible.

A

Asprin

24
Q

Treatment of
STEMI
NSTEMI

A

STEMI: Emergency catheterization or thrombolysis

NSTEMI: appropriate anticoagulation

25
Q

INR for mechanical aortic valve

A

2-3

26
Q

treatment of pericarditis?
temporary:
Refractory:

A

Temporary relief: diuretics

Refractory: pericardiectomy

27
Q

Survivors of Hodgkin lymphoma present with _____ after _____ years.

A

constrictive pericarditis

10 - 20 years

28
Q

Treatment of WPW syndrome

Contraindication:

A

hemodynamically unstable: immediate electrical cardioversion
stable: RYTHM control (ibutilide/ procainamide)

Contraindication: rythm control

29
Q

1st degree heart block management:

A

Normal QRS complex: Observation

Broad QRS complex: Electrophysiologic testing to determine the site of conduction delay

30
Q

Importance of vagal maneuvers in AV block:

A

Determine the level of block as they have affect on AV node but no effect on the bundle of His

31
Q

Coronary artery typically involved.
Papillary muscle rupture:

interventricular septum defect:

A

PMR: RCA

IVSD: LAD-apical. RCA-basal

CK (8 decks)

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