misc Flashcards
sinus pause >3s is indication for
permanent pacemaker
treatment stable narrow complex tachycarida
1/vagal manouvre
2/ 6mg IV adenosine
3/ 12mg IV adenosine
4/ 18mg IV adenosine
P pulmonale
tall peaked p wave on ECG –> R atrial enlargement
scoring system used to assess risk of bleeding whilst on anticoagulation
ORBIT
most common worldwide cause of aortic regurgitation
rheumatic heart disease
how does streptococcus gram stain
gram positive in chains
how does staphylococcus gram stain
gram positive in clusters
normal axis º
-30 to +90
left axis deviation º
-30 to -90
right axis deviation º
+90 to +180
moat common cause mitral stenosis
rheumatic heart disease
Becks triad
hypotension
raised JVP
muffled heart sounds
(cardiac tamponade)
Mx fast AF
IV metoprolol
Mx AF with decompensation
synchronised DC cardioversion
Mx cardiac tamponade
periacardiocentesis
features posterior MI
reciprocal changes V1-V3
horizontal ST depression
tall broad R waves
dominant R wave V2
Mx paroxysmal AF
pill in pocket method - oral flecanide
INR target - AF
2-3
INR target - aortic valve replacement
2-3
INR target - mitral valve replacement
2.5-3.5
INR target - following VTE
2-3
INR target - VTE whilst taking warfarin
3-4
pulse seen in severe L side heart failure
pulsus alterans
causes of Jwave/obsborne wave on ECG
hypothermia
hypercalcaemia
intracranial bleed
can loop diuretics cause ototoxicity
yes
side effects GTN
hypotension
tachycardia
headache
bleeding on dapigatran, give?
idarucizumab
erythromycin effect on QT
lengthen in
Ix for aortic dissection
CT angiography chest, abdo, pelvis
when to start anticoag for patient with AF and had stroke
2wks after
