Medi-a fib & pericarditis

Question 1

Risk factors for A fib

Answer 1

>65
Men>women
Whites>blacks
HTN
DM
Other cardiac disease
Sleep apnea
Rheumatic heart disease 
Mitral valve disease

Question 2

What can you asses with a TTE?

Answer 2

Size of atria
Ventricular function 
Valvular heart disease 
Pericardial disease
Possible left atrial thrombus

Question 3

What can you asses with a TEE?

Answer 3

More sensitive for identifying thrombi

Look at left atrium and left atrial appendage

Question 4

Tumors that metastasize to the pericardium most often come from where?

Answer 4

Lung
Breast
Lymphoma
Leukemia

Question 5

If you have an elderly pt with a history of cancer that has pericarditis, what should your first thought be on the cause?

Answer 5

Cancer

Question 6

Dx tool for me pericardial effusion

Answer 6

Echo

Question 7

Pericardial friction rub is present in ____ of acute pericarditis

Answer 7

85%

Question 8

With pericarditis, treat what first?

Answer 8

Underlying cause
Ex SLE (lupus-steroids)
NOT aspirin, colchicine, or NSAIDs

Question 9

In which leads would you see ST elevation in pericarditis? What else can you see?

Answer 9

All leads

Alternans

Question 10

In young, otherwise healthy its with pericarditis, suspect ___

Answer 10

Lupus

Question 11

Large volume effusions are always ___

Answer 11

Chronic

Question 12

CHADS2 scoring system

Answer 12

1: CHF, HTN, age>75, DM
2: Stroke, TIA, thromboembolism

Question 13

CHA2DS2-VASc scoring system

Answer 13

1: CHF, LVEF, HTN, DM, Vascular disease, age 65-74, female
2: >75, Stroke or TIA

Question 14

Stroke risk for CHADS2 scores

Answer 14

0. 1.9%
1. 2.8%
2. 4%
3. 5.9%
4. 8.5%
5. 12.5%
6. 18.2%

Question 15

HAS-BLED bleeding risk score

Answer 15

1pt each for: HTN, Stroke, bleeding, labile INRs, >65, abnormal renal function, abnormal liver function, drugs, alcohol

Question 16

What is the most frequent complication of a fib?

Answer 16

Embolization