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SPORTS BOARD 2020 > HEART > Flashcards

HEART Flashcards

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Sports Trivia flashcards
1
Q

VALVE AREA > 1.5CM2 AND < 25 mmHg is defined as (mild/moderate/severe) grade aortic stenosis

A

mild- no restriction Suggest annual physical and echo

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2
Q

VALVE AREA 1.0CM2-1.5CM2 AND aoritc pressure 25-40 mmHg is defined as (mild/moderate/severe) grade aortic stenosis

A

moderate- low intesnity sports as long as does no abnormal heart rhythms, BP, ST changes.

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3
Q

VALVE AREA < 1cm2 >40mmHg is defined as (low/moderate/severe) grade aortic stenosis

A

severe- cannot play * Moderate with symtpoms also cannot play

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4
Q

In what circumstanes would athlete with MVP be resticted from sport?

A

Moderate to severe Regurg Famly History of MVP death history of cardiac syncope ventricular arrythmias

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5
Q

ARVD athletes recomendations for sport

A

Cannot compete in endurance or competitive sport. Can participate in low intensity recreational sport.

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6
Q

Most common form of SCD > 35 yrs

A

CAD

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7
Q

Coronary arty risk score >___ should have LV function. assessed

A

100

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8
Q

EF < ___% with exercse is considered substantial risk factor for athletes with CAD

A

50%

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9
Q

Anybody with MI should refrain from vigorous physical activity for at least __ week

A

4

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10
Q

How can one try to differeiante Athletic heart vs HCM

A

Athletic heart- Increased wall thickness and increased cardiac chamber volume HCM- increased wall thickness and decreased cardiac chamber volume

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11
Q

When should you screen someone for LV function ?

A

asymptomatic patient with diabetes starting a vigorous exercise program. or men >45 and woman >55 previously sedimentary starting rigours exercise program

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12
Q

Athlete with 145/90 during screening physical allowed to play?

A

Stage 1 or 2 htn, no restriction as long as no end organ damage. May not participate until BP well controlled if has end organ damage

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13
Q

What is the recomended study for pediatric athletes with HTN

A

renal ultrasound

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14
Q

What is recomended for children >95% or 90-94% with DM or renal disease?

A

echocardiogram

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15
Q

BP meds recomended for athletes?

A

ARBS, ACE, and CCB

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16
Q

Most common arrhythmia in athletes

A

A-fib

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17
Q

Can athletes with a-fib play competative sport?

A

as long as no structural heart disease

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18
Q

How doese exercise relate to A-fib

A

vigorous exercise proportional to prevalence

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19
Q

One lab to order with AFib?

A

TSH

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20
Q

Medication managment for athletes with A-fib?

A

Beta blocker Avoid collision sports if starting on Blood thinners

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21
Q

RTP after A-fib ablation

A

4-6 weeks

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22
Q

After diagnosis of Myocarditis should refrain from strenuous activity for _____

A

6 months

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23
Q

Commotio Cordis as result of what kind of irregular heart rhyth

A

v-Fib , right before T wave

24
Q

Presentation of Anomalous CA

A

SCD, exertional CP, syncope, and pre syncope

25
Q

Workup for Anomalous CA

A

Coronary artery angiography

26
Q

Anomalous CA can RTP how long after correct surgery?

A

None until 3 months after surgery

27
Q

What are EKG signs for ARVD

A

T wave inversion V1-V3 followed by flat or downsloping ST segement

28
Q

ARVD pathology

A

mutations in desmosomal proteins that replace muscle fibers with fibrofatty replacement usually in RV

29
Q

Harsh crescendo-decrescendo systolic murmur R 2nd intercostal

A

Aortic Stenosis ( Squatting - increases preload) and will make it louder

30
Q

decrescendo blowing diastolic murmur heard best at the left lower sternal border.

A

Aortic Regurgitation

Diastolic is the leafy valve letting blood back in the left ventricle

31
Q

An innocent murmur can be any murmur excluding (diastolic/systolic)

A

diasystolic

32
Q

Diastolic murmur lower left sternal border

A

Tricuspid stenosis

33
Q

Systolic murmur upper left sternal border

A

Pulmonary stenosis

34
Q

Diastolic murmur heard at apex w/ opening stap

A

Mitral stenosis

Snap is heard as LV trying to fill. after systole

35
Q

Systolic injection murmur in a football physical. What could you do exacerbate the murmur if you are concerned for HCM?

A

Valsalva - decrease venous return/increases arterial resistance

Sitting to standing- decrease venous return

36
Q

What is the name of this wave and what heart condition is it specific for?

A

epsilon wave

ARVD

37
Q

Genetic link for HCM

A

Auto Dominent

38
Q

Describe EKG findings in HCM

A

Inferiolateral Leads

V4-V6, 1, 2, AVF, AVL

Deep T wave inversion

Dagger like Q WAVES

V5, V6, II, AVF

39
Q

EKG OF 16 YR OLD AAMALE BASEKTBALL PLAYER

A

NORMAL IF ASYMPTOMATIC

ST ELEVATION DOME V1-V4

40
Q

MARFAN’S SYNDROME has a defect in the ___ gene.

A

Fibrillin

41
Q

Name one eye abnormality and 2 heart conditions of Marfans

A
  1. Lens Dislocation
  2. Aortic dissection
  3. Mitral and Aortic valve incompitancy
42
Q

Marfan’s is passed down how?

A

Auto dominent

43
Q
A

Marfans’

44
Q

Ho often are follow up echos needed for Marfans?

A

<45 mm- 12 months

>45 mm -6 months

45
Q

What size aortic root in Marfans would require surgery?

A

>50 mm

46
Q

What heart condition is this seen in ?

A

Delta wave

WPW

The other signs would be long QRS AND SHORTENED PR INTERVAL

47
Q

Patient with suspected WPW put on treadmill for further assessment and was identified as risk as inconclusive? What is the next step?

A

EP study

48
Q
A
49
Q

What is this abnormality and what is it associatied with?

A

Ebstein’s abnormality

Tricuspid valve mutation Dilated RV

50
Q

Seen in what cardiac condition

A

Brugada.

Right Bundle branch block and ST elevation in V1-V3

51
Q

Which heart condition involves mutated sacromeres proteins.

A

HCM

52
Q

Mutation in the ryanodine,calsequestrin, or ankyrin B proteins

A

Catecholaminergic Polymorphic Ventrical Tachycardia

53
Q

Resting ECG of qtc > ____ is diagnostic Prolonged QT syndrome

A

500

Recommended exercise stress test

54
Q

Characterized by prominent trabeculae and deep interrebecular recesses

A

LV Non Compaction

55
Q

ST CONVEX ELEVATION FOLLOWED BY INVERSE T WAVE IS NORMAL IN WHAT LEADS?

A

V1-V4 AA ATHLETE

56
Q

WHAT IS THE DIFFERENCE IN THE MURMUR OF AORTIC STENOSIS VS HCM?

A

HCM DOES NOT RADIATE TO THE CAROTIDS.

SPORTS BOARD 2020 (19 decks)

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