Random Cardio Flashcards
Beck’s triad
distended neck veins
distant heart sounds
hypOtension
TOF
RVOT
VSD
overriding aorta
RVH
high pulse P
low diastolic P
aortic regurgitation
basis of cyanosis in TOF
RV outflow tract obstruction inc RV P req to get blood past obstruction
elevated RV P then cause blood to loss over to LV and into systemic circ (R–> L shunt)
RHF signs
LE edema
inc JVP
liver congestion
S3
HF
LHF signs
DOE
paroxysmal nocturnal dyspnea
orthopnea
rales
V-waves found on PCWP tracings
mitral regurgitation
lyme carditis primarily causes
heart block
most common cause of new systolic heart failure or HFrEF
ischemic heart disease
assess via stress test or coronary angio
xs EtOH – which type of CM?
non-ischemic dilated CM
AFib presents w/ huge risk of …
stroke
CHADS score det rx
adenosine breaks…
AVNRT
valsalva maneuver
dec VR
dec preload
dec LV cavity size
terminantes AVNRT/PSVT
makes HCM murmur louder
nml QRS axis
-30 - 90
R axis deviation
90 - 180
L axis deviation
-30 - (-90)
orthodromic reciprocating tachycardia
conduction is down the normal path through the AV node and returns to the atrium via the accessory pathway
antidromic reciprocating tachycardia
tachycardia travels antegrade (atrium to ventricle) down the bypass tract and ret- rograde (ventricle to atrium) up the AV node (antidromic AVRT).through the accessory pathway
____-cartitis presents in acute rheumatic fever
PANcarditis
(1. endocarditis: mitral valve vegetations
2. myocarditis: Aschoff bodies and Anitschow cells, giant cells)
3. pericarditis: friction rub/CP)
T or F: vulnerable plaques are hemodynamically significant
F
Often hemodynamically insignificant (50%) until rupture
acute rheumatic fever criteria
JONES (major) - migratory polyarthritis (Joints) - pancarditis - subcutaneous Nodules - erythema marginatum (trunk rash) - Sydenham chorea
sigmata of bacterial endocarditis
roth spots (retina) osler notes (fingers/toes) janeway lesions (palms/soles) spliterhemorrhages (nail beds)
doxorubicin
dilated CM
In utero, pulmonary circulation is ____ flow, ____ resistance circuit
In utero, pulmonary circulation is LOW flow, HIGH resistance circuit
At birth there is a _____ in pulm vascular R, and a _____ partial P of oxygen.
At birth there is a REDUCTION in pulm vascular R, and a HIGHER partial P of oxygen.
Loeffler’s syndrome
hyperEOS –> RCM
Libmann-Sacks
non-bacterial, thrombotic endocarditis
