Random1 Flashcards
Framingham 10 year risk
Age HTN treated or untreated Hdl Cholesterol Smoking
Low diastolic velocity e’<10
High mortality
E/e’>15 high mortality
Older than 60
Start bp treatment >150
Do not initiate
Rosiglitazone
Non cardiac surgery
Major risk H/o cad CHF CVA DM Rf
Maximum contrast
3.7X creatinine clearance
Need for pacer higher
In alcohol septal ablation
Asd afib
After age 40 if it is not closed
Ultrafiltration
DecreAse the re admission rate
Laplace law
Lv pressure X thickness/ 2X radius
Plaque regression
Below LDL of 60
Pericardial effusion increase adenosine deaminase
TB
Post pvc potentiatiom
Frank starling law
Treppe effect increase sodium
Bow ditch stair case increase calcium
Cardiomyopathy
Arrhythmias more common in the first 3 months of the diagnosis EF <35 associated with increase sudden death
Carotid stenosis 70% or greater have 26% stroke risk in 2 years
Asymptomatic patientd with 60% or greater stenosis have 11% stroke risk in 5 years
Obese prople with diet drugs
Look for grit thickened TV
Carcinoid picture
High RA giant A waves
Pericardial effusion malignancy
Do a window try not to tap
Procan induced lupus
Use Napa it doesn’t cause lupus
Naproxen and celecoxib
Do not increase the blood pressure
Clonidine
Is a central alpha blocker
Amyl nitrate
Increases the murmurs of as and HOCM and decreases MR murmur
Hand grip decrease as and HOCM murmurs and increase MR murmur
Endocarditis
Age is a critical factor
Apical myxomas
Usually recur
Pericardium is not always thickened
In constructive pericarditis
Deficiencies causing cardiomyopathy
Thiamine
Selenium
Carnitine
Not iron
After cardioversion use coumadin
Atleast for 4 weeks
Continues murmurs
Short murmur late systole to early diastolic without changing the character
Sirolomous
Can cause pedal edema
Constructive pericarditis
Cancer usually not the cause
Heart malignancy
Metastasis
Highest From melanoma
MV repair
98% success 1 month
83% 5 years
73% 7 years
Diastolic numbers in normal
Mitral inflow Vp>45 cN/sec
Em of the annum u is >8
Freedom trial
Diabetics only
Stitch trial
CABG reduces hospitalizations
Pet stress EF
Generated at peak pharmacological hyperemic state
Chagas
Do serological test first
Pulm htn
Syncope has the worst prognosis
Supra valvular stenosis
Check for coronary ischemia and renal artery stenosis all available relatives need to be evaluated
Epsilon waves
ARVD
