Extras: Cardiac Flashcards
Beck’s triad for cardiac tamponade
- hypotension
- JVD
- muffled heart sounds
the most common MI complications: acute, intermediate, and chronic
- acute: arrhythmias, cardiogenic shock
- intermediate: fibrinous pericarditis, myocardial rupture, mitral regurg
- chronic: Dressler syndrome, ventricular aneurysm, progressive CHF
Dressler syndrome
post MI immune reaction -> fibrinous pericarditis, fever, pleuritic pain, effusion
major heart change with chronic HTN
LV hypertrophy
which causes decreased EF, systolic or diastolic HF?
systolic HF -> decreased EF
heart condition where you see nutmeg liver
R sided HF
three drugs used to treat pericarditis
- NSAIDs
- Indomethacin
- Colchicine
what does this describe: Kussmaul’s sign, JVD, pulsus paradoxus, and pericardial knock
Constrictive pericarditis
two conditions associated with cardiac myxomas
- McCune-Albright
2. Carney complex
mutation in 50% of rhabdomyomas
TSC1 or TSC2
genetic cause for dilated cardiomyopathy vs hypertrophic cardiomyopathy
- dilated: TTN mutation
2. hypertrophic: B-myosin heavy chains
ARVC
defective desmosomes -> myocardium of RV replaced with fat/fibrosis -> Vtach/Vfib and sudden death
syndrome with plantar/palmar hyperkeratosis, wooly hair, and ARVC
Naxos Syndrome
mutation in Naxos syndrome
plakoglobin
three ways myocarditis can present
- new/worsening HF
- conduction abnormalities
- MI-like
saying for initial management of ACS
MONA: morphine, O2, nitrates, aspirin
DAPT
dual anti-platelet therapy: Aspirin + P2Y12 inhibitor
three ways to stress the heart during a cardiac stress test
- exercise
- vasodilators: adenosine, dipyridamole, regadenoson
- Inotropes/Chronotropes: dobutamine
black vs white pt first line against HTN
black pt: CCB or diuretic
white pt: ARB or ACEi
Drugs for pt with DM2 + HTN or CHF + HTN
ACEi or ARB
drug for pt with HTN + BPH
alpha-blocker
drugs for pt with HTN + Afib
CCB or BB