MKSAP Flashcards
4 Indications for PPM
- Symptomatic
- Mobitz type 2 and above
- CHB
- Alternating BBB
AC with CVD benefit in PAD patient
Rivaroxaban low dose
Does cilostazol reduce CV mortality in PAD patients?
No
Imaging test for suspected low risk, low probability NSTEMI with equivocal Trop
CTA coronary arteries
Old females with A.fib, HFrEF, HTN, and DM - rate or rythym
Rhythm control
Scan for cardiac amyloidosis
Gadolinium Cardiac MRI
Scan to differentiate ATTR from light chain amyloidosis
99 technician scan
Right atria Tumor
Atrial leimyosarcoma
Coronary micro vascular dysfunction
Intermittent chest pain with clean coronaries
Most common cause of secondary MR
LV dysfunction
ABI in patients with PAD
0.40-0.90
EKG finding of HOCM
LVH and deep Q waves in 1, avL, V4-V6
What’s re the 6 things we look for in an EKG when evaluations palpitations
- Pre excitation
- AV blocks
- Ectopic
- IV conduction delays
- HOCM
- Previous MI
Which strategy (rate or rhythm) is preferred for flutter
Rhythm since rate is hard to control
EKG pattern of A.flutter
Inverted flutter waves in inferior leads and positive waves in V1
Define recurrent idiopathic pericarditis
Acute episode followed by recurrence in 4-6 weeks
Rx of idiopathic pericarditis
NSAIDs—> NSAID + colchicine —> NSAID + colchicine + prednisone
Indications for DAPT after 1 year of DES
Patients with high risk of repeat CV event:
1. Diabetes Mellitus
2. Low LVEF
3. Saphenous vein graft stent
Most common cause of pregnancy associated MI
Spontaneous CAD occurring during or with 1 month of delivery
Antiarhythmic used for HOCM
Dysopyramide
What is a high degree AV block
More than one successive non conducted P waves
Diagnostic test for POTS
Tilt table test
Diagnostic criteria (HR) for POTS
> 30/min increase or >120 within 10 min of standing
How long is AC considered before cardioversion for A fib
3 weeks
Resting HR goal in A.fib
<80
Rhythm com trim strategy proffered over rate control in the following patients (think 89 patient)
- Age >65
- Female
- Heart failure
- HTN
- DM
- CKD
- LVH
Which patients have most favorable outcomes with catheter ablation fkr A.fib
Without LA enlargement
CHADSVASC >3 cannot be AC due to bleeding. Next step.
LA appendage occlusion
Anticoagulation post cardioversion
4 weeks of AC regardless of CHADSVASC
What is high burden PVC
> 10% of beats or >10,000 PVCs per day
High risk features in PVC
- Syncope
- Structural heart disease
- Family history of SCD
Cardiac index for high output failure
> 4
Most common cause of HF
CAD
What are the three indications of antibiotic prophylaxis before dental procedures
- Prosthetic valve
- Previous h/o IE
- CHD - Unrepaired or with residual flow impairment
Antiarrythmics contraindicated in ischemic heart disease
Flecainide and Propafenone
To agree or is the preferred anti platelet in ACS except in these three conditions
- Dyspnea/COPD
- Bradycardia
- Elevated bleeding risk
