passmed II Flashcards
1
Q
what type of cardiomyopathy mimics an MI and is triggered by stress ?
A
Takotsubo aka ‘broken heart syndrome’
shows ST elevation in lots of leads
2
Q
features of aortic stenosis ?
A
> chest pain, dyspnoea, syncope/presyncope
> murmur = ejection systolic, radiates to the carotids, decreased with valsalva manoeuvre
*severe = narrow pulse pressure, slow rising pulse, soft / absent S2, S4, LVH
3
Q
what drug is contraindicated with ventricular tachycardia ?
A
verapamil
4
Q
marfans syndrome associated murmur ?
A
aortic regurgitation - early diastolic
5
Q
saddle shaped st elevation indicates ?
A
acute pericarditis
- symptoms eased by leaning forwards
- medical therapies include naproxen
