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CDME > Module 3 Cardiovascular, Hypertension > Flashcards

Module 3 Cardiovascular, Hypertension Flashcards

1
Q

What are the parameters for acceptable ETT?

A

METs >6
; HR > 85% MPHR (unless beta-blocked)
; SBP rise > 20 mmHg w/o angina
; No significant ST depression

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2
Q

What are parameters for acceptable echocardiogram?

A

LVEF greater than or equal to 40%

;No pulmonary HTN

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3
Q

What is the waiting period post-MI?

A

2 months

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4
Q

What are parameters are needed for certification post-MI?

A 
asymptomatic
; tolerates medications
; satisfactory ETT
; LVEF greater than or equal to 40%
; no ECG changes
; cardiologist clearance
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5
Q

What is waiting period for pulmonary emboli?

A

May certify if no PE at least 3 months

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6
Q

What are parameters for certification for pulmonary embolus?

A

no PE in at least 3 month
; on appropriate tx
; regulated at least 1 month on warfarin
; monthly INR done

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7
Q

What is waiting period for stable angina pectoris?

A

minimum 3 months with no rest angina or change in anginal pattern

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8
Q

What are the parameters for certification with stable angina pectoris?

A 
stable angina
; asymptomatic
; tolerates medications
; cardiologist clearance
; satisfactory ETT biennially
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9
Q

What is waiting period for PCI?

A

One week

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10
Q

What are the parameters for certification post-PCI?

A 
asymptomatic
; tolerates medications
; no injury to vascular access site
; no ischemic ECG changes
; needs ETT 3-6 months post-PCI
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11
Q

What is certification period for post-PCI?

A

Initially certify for up to 6 months, then maximum of 1 year thereafter

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12
Q

What is waiting period for post-CABG?

A

At least 3 months

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13
Q

What are the parameters for certification post-CABG?

A

asymptomatic
; tolerates medication w/o orthostatic sx
; LVEF greater than or equal to 40%
; cardiologist clearance
; healed sternum
; biennial ETT beginning 5 years post-CABG.

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14
Q

Define mild, moderate, severe aortic stenosis.

A

mild AS: AVA > 1.5cm2
; moderate AS: AVA , greater than or equal to 1.0 - 1.5 cm2
; severe AS: AVA < 1.0 cm2

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15
Q

What are the parameters for certification for mild AS?

A

Annual certification if asymptomatic and with echocardiogram Q5years

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16
Q

What are the parameters for certification for moderate AS?

A

Annyual certification if asymptomatic, at least 3 months post-op and with echocardiogram Q1-2years;
No certification if anginal, cardiac failure, syncope, AFib, thromboembolism or LVEF<50%

17
Q

What are the parameters for certification for severe AS?

A

No certification if no surgery; annual certification if at least 3 months post-op

18
Q

What are the parameters for certification for mild AR?

A

Annual certification if asymptomatic with echocardiogram Q2-3years

19
Q

What are the parameters for certification for moderate AR?

A

Annual certification if normal LV fxn, no or mild LV enlargment with echocardiogram Q2-3 years

20
Q

What are the parameters for certification for severe AR?

A

Certification Q6months if asymptomatic and normal LV fxn with echocardiogram Q6-12months

21
Q

What are the parameters for certification for mild MS?

A

Annual certification if asymptomatic

22
Q

What are the parameters for certification for moderate MS?

A

Annual certification if asymptomatic

23
Q

What are the parameters for certification for severe MS?

A

No certification if symptomatic, NYHA Class II or higher, afib, ETT 6 or less METs: annual certification if 1-3 months post procedure with cardiology clearance

24
Q

What are the parameters for certification for mild MR?

A

Annual certification if asymptomatic with normal LV size and fxn with normal PAP

25
Q

What are the parameters for certification for moderate MR?

A

Annual certification if asymptomatic with normal LV size and function with normal PAP and annual echocardiogram

26
Q

What are the parameters for certification for severe MR?

A

Annual certification if asymptomatic with echocardiogram Q6-12months

27
Q

Define mild, moderate and severe mitral stenosis.

A

mild MS: MVA greater than or equal to 1.6cm2
; moderate MS: MVA 1.0 to 1.6 cm2
; severe MS: MVA less than or equal to 1.0 cm2

28
Q

What is waiting list for valve replacement?

A

3 months

29
Q

What are certification parameters for valve replacement?

A

Annual with cardiology clearance and EF greater than or equal to 40%.

30
Q

What are certification parameters for hypertrophic or restrictive cardiomyophathy?

A

None-recommend disqualification

31
Q

What are certification parameters for idiopathic dilated cardiomyopathy and CHF?

A

Asymptomatic; LVEF >40%; no ventricular arrythmias; annual cardiology evaluation

CDME (8 decks)

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