Pericardium

Question 0

Pericarditis

Answer 0

PR depression
ST elevations
Second phase T inversions
Third normalization

Question 1

Pericardial measurements

Answer 1

Square root sign and discordant RV and LV pressure constriction
Blunted X and Y equalization of pressures tamponade

Question 2

Pericarditis

Cope trial

Answer 2

Colchicine better
12% vs 37%
Prednisone increase recurrence do not use prednisone
Colchicine – bone marrow suppression, ca blockers,amio, cyclosporine don’t use in uremia

Question 3

Myocarditis

Answer 3

LV dysfunction

Enzyme leak

Question 4

Pulses paradoxus

Answer 4

Inspiration decrease in systolic >10 mm hg
False positive copd, PE, constriction
False negative hypertrophy, AI, hypotension

Question 5

Constriction

Answer 5

Idiopathic 33%
Prior surgery18%
Radiation 13#

Question 6

Constriction

Answer 6

Depends on severity
RA, LA 10-18 edema hepato meg systemic venous
>18 dyspnea Orthopnea pulmonary

Question 7

Exam constriction

Answer 7

Elevated jvp
Abscent inspiratory decrease kussmaul
Prominant  Y friedreich
Pulses parodixus 
Pericardial knock
Hepatomegaly edema

Question 8

Constriction hemodynamics

Answer 8

Dissociation of intra thoracic and intra cardiac pressures
IncreEs ventricular interdependence

Need left and right heart cath

Question 9

Pericardiectomy

Phrenic to phrenic

Answer 9

Mortality 6%
10 year survival 43%
Survival ? Due to radiation