MKSAP III Flashcards
What ages do you calculate ASCVD risk score?
40-75
What anticoagulation is recommended in mechanical prosthetic valve?
Warfarin and ASA (even without history of CAD)
What kind of murmur can you clinically follow?
Asymptomatic, grade <3, short, soft, decreases with standing
How long do you continue DAPT (minimum) after DES for stable angina?
6 months
All patients with HFrEF should be on a BB. This will be uptitrated for a goal of _____.
Max dose tolerated (HR goal ~60 or hypotension)
When do you add hydralazine/isosorbide dinitrate?
Black patients with NYHA III or IV and maxed out on other GDMT
Everyone with bicuspid aortic disease needs _____ to be evaluated for other possible aortopathy.
CT angiography of aorta
What imaging do you use to evaluate PAD of UE?
CT angiography
What is the difference between Type A vs Type B aortic dissection?
Type A- includes Ascending aorta or Arch
Type B- everywhere else on the aorta
What kind of murmurs need TTE?
- Systolic murmur 3/6
- Higher, late or holosystolic murmurs
- Diastolic or continuous murmurs
- Symptomatic murmurs
Why do you decrease ranolazine when starting dilt or verapamil?
Those two CCBs are strong CYP3A inhibitors and will increase the levels of ranolazine.
Do patients with asymptomatic bifascicular block and 1st degree AV block need further cardiac work-up?
No
