MKSAP V Flashcards
Definition of pulmonary vascular disease by PASP
PASP >50 mmHg
When is endocarditis ppx recommended?
- unrepaired cyanotic congenital heart disease
- first 6 months after repair of congenital heart defect if prosthesis/device
- repaired congenital heart disease with residual defects
In patients with borderline/intermediated 10-year risk for atherosclerotic CV disease, ______ may be used to further risk-strat patients for primary preventive therapy.
Coronary artery calcium scoring
ASCVD risk score categories: low, borderline, intermediate, high
Low: <5%
Borderline: 5-7.5%
Intermediate: 7.5%-20%
High: >20%
When does CABG improve survival (vs staged PCI)?
- patients with multivessel CAD and LV dysfunction
2. patients with DM and multivessel disease
How do you treat patients with PVC-induced cardiomyopathy?
catheter ablation
What is first-line therapy for symptomatic or frequent PVCs?
BB or CCB
What is most common structural disorder resulting from tetralogy of Fallot repair (single S2, soft systolic pulmonary outflow murmur)?
Pulmonary regurgitation
How frequent are perivalvular abscess in infective endocarditis?
up to 30-40%
In pregnancy patients, what is the preferred anticoagulant?
WARFARIN
1st trimester: can continue if dose 5mg daily or less (if not then use heparin, NOT lovenox)
2nd + 3rd trimester: no matter what
How do you diagnose inappropriate sinus tachycardic?
Ambulatory EKG monitoring after exclusion of other causes of tachycardia like hyperthyroidism, anemia, pheo, structural heart disease
Preferred stress test for LBBB
adenosine SPECT test (exercise or dobutamine may be false positive)
Among patients aged 55 or older who have cryptogenic ischemic neurologic event, occult intermittent atrial fibrillation is thought to be present in up to ____ of cases.
25%
So this is why it is very important to do noninvasive ambulatory EKG monitoring for 30 days to help detect potential a fib
A bicuspid aortic valve is present in more than 50% of patients with ______.
aortic coarctation
