PANCE Cardiology Flashcards
what leads are anterior wall
V1- V4
what leads are lateral
V5-V6 I, AVL
what leads are inferior
II,III, AVF
Sinus tach rate
> 100
sinus tach tx
- none
sinus brady rate
< 60
sinus brady tx
atropine
sick sinus syndrome tx
pacemaker
tx 1st degree block
none
tx 2nd degree block
atropine + PM
Tx 3rd degree block
PM
tx for stable atrial flutter (2)
BB
CCB
tx for unstable atrial flutter (2)
cardiovert
-ablation
irregularly irrregular
a fib
what is the tx for a fib 3
BB
CCB
anti coag if CHADSVAS > 1
does a fib have P waves
no
unstable A fib what do you do
cardiovert
what if they have a chads vas of 0 or 1
Aspirin
what medications cause long QT (2)
macrolides
TCA
what is the 2 tx for SVT (narrow)
- Vagal
- adenosine
what is the 2 tx for SVT (wide )
- amniodrone
- cardiovertion
what is the Tx for WPW
procanimide
what is the tx for PVC
none
what is the tx for stable V tach
amniodroine
what is the tx for pulseness V tach
dfib
what is the MC cause of torsades
hypomagnesia
what does ST depression mean
ischemia
what does ST elevation mean
MI
diffuse ST elevation
acute pericarditis
what is it called when coronary demand > supply
CAD
what are the top 3 causes of CAD
- DM
- smoking
- hyperlipidemia
what are the top 3 causes of CAD
- DM
- smoking
- hyperlipidemia
what leads are anterior wall
V1- V4
what leads are lateral
V5-V6 I, AVL
what leads are inferior
II,III, AVF
Sinus tach rate
> 100
sinus tach tx
- none
sinus brady rate
< 60
sinus brady tx
atropine
sick sinus syndrome tx
pacemaker
tx 1st degree block
none
tx 2nd degree block
atropine + PM
Tx 3rd degree block
PM
tx for stable atrial flutter (2)
BB
CCB
tx for unstable atrial flutter (2)
cardiovert
-ablation
irregularly irrregular
a fib
what is the tx for a fib 3
BB
CCB
anti coag if CHADSVAS > 2
does a fib have P waves
no
unstable A fib what do you do
cardiovert
what if they have a chads vas of 0 or 1
Aspirin
what medications cause long QT (2)
macrolides
TCA
what is the 2 tx for SVT (narrow)
- Vagal
- adenosine
what is the 2 tx for SVT (wide )
- amniodrone
- cardiovertion
what is the Tx for WPW
procanimide
what is the tx for PVC
none
what is the tx for stable V tach
amniodroine
what is the tx for pulseness V tach
dfib
what is the MC cause of torsades
hypomagnesia
what does ST depression mean
ischemia
what does ST elevation mean
MI
diffuse ST elevation
acute pericarditis
what is it called when coronary demand > supply
CAD
what is the MC cause of CAD
atherosclerosis
what are the top 3 causes of CAD
- DM
- smoking
- hyperlipidemia
what are the three angina equilivants
epigastic
shoulder
dyspnea
what is the MC agent used in a pharm stress test
adenosine
what is the MC agent for a stress echo
debutimine
what is under the ACS umbrella
- unstable angina
- NSTEMI
- STEMI
what is the MC cause of MI
atherosclerosis
Troponin
- appears
- peaks
- lasts
- appears: 4-6 hrs
- peaks: 12-24 hrs
- lasts: 7-10 days
management of UA, NSTEMI (4)
- BB
- aspirin
- heprin
- Nitro
management of STEMI (5)
- BB
- aspirin
- heprin
- Nitro
- ace
- PCI
PCI done how fast after STEMI
90 min
post MI pericarditis
Dresslers syndrome
how do you treat cocaine induced MI
- benzos
- avoid beta blockers
coronary artery vasospasm tx
CCB
what heart sound is systolic HF
S3
what type of HF is a dilated LV
systolic HF
what is the MC of transudative plural effuion
CHF
what is the MC symptom of L sided CHF
dyspnea
what pathology is associated with kerly B lines
CHF
what are the 2 MC causes of acute pericarditis
- idiopathic
2. coxackie
do people with pericarditis have fever
yes (most often)
what is the tx for acute pericarditis
NSAID + cholchicine
what pathology kusmals sign associated with
constrictive pericarditis, restrictive pericarditis
- inc JVD with inspiration
what is the MC viral cause of myocarditis
coxsackie
what are the 2 MC autoimmune causes of myocarditis
- SLE
- rheumatic fever
what is the gold standard dx for myocarditis
biopsy
what two positions increase the sound of hypertrophy cardiomyopathy
squatting
supine
what is the jones criteria associated with
rheumatic fever
what is the jones criteria
Joint Oh my heart Nodules Erythema marfinatm Sydenhams chorhea
rheumatic fever Tx
- asprin + Pen G
what is the goal BP for JNC 8
140/90
- 150 / 90 if > 60 years old
look up diaretics on page 52
truth
HTN emergency what 2 meds
- nicardipine
- labetalol
what medication is best for HDL
niacin
ABE cause
S aureus
ADE IVDU cause
MRSA
ABE valve
Mitral
Jane way lesions
Oslar nodes
what pathology
infective endocarditis
what is the tx for PV infective endocarditis
vanco
Gent
rifan
what is the tx for NV infective endocarditis
Nafcillin + Gent
