Simplified 1st Line Drugs

Question 1

Aortic Stenosis

Answer 1

BB if angina is present
ACEI if HF is present
Definitive treatment is surgical valve replacement

Question 2

Coartication of the aorta

Answer 2

Prostaglandin to open PDA

Surgical repair

Question 3

PDA

Answer 3

Indomethacin

Question 4

VSD

Answer 4

Large: surgery
Small: monitor
Also use lasix, high cal diet if CHF is present

Question 5

Atrial septal defect

Answer 5

> 8 mm = surgery

Lasix

Question 6

TOGA

Answer 6

Prostaglandin

Surgery (transpose great arteries AND coronary arteries)

Question 7

Truncus Arteriosus

Answer 7

Multiple surgeries throughout life

Question 8

A-flutter

Answer 8

BB

Question 9

A-Fib

Answer 9

Diltiazem; BB

Question 10

PSVT (retrograde P waves, hidden/simultaneous with QRS)

Answer 10

Adenosine

Question 11

WPW

Answer 11

Procainamide

Question 12

AV Block

Answer 12

Atropine

Question 13

Torsades de Pointes

Answer 13

IV Mag sulfate

Question 14

V-tach with LV dysfunction

Answer 14

IV amiodarone

Question 15

Dilated cardiomyopathy

Answer 15

BB

Question 16

Restrictive cardiomyopathy

Answer 16

BB

Question 17

HOCM

Answer 17

BB

Question 18

Takosubo

Answer 18

Supportive

Question 19

STEMI/NSTEMI

Answer 19

STEMI = emergent PCI or fibrinolytics; morphine for pain

For both:
ACEI
ASA
BB
Clopidogrel (use heparin if going for PCI, then change back to clopidogrel post-PCI)
High intensity statin

PRN nitro

Question 20

Angina

Answer 20

ASA
BB
PRN nitro
Statin

Question 21

Prinzmetal angina

Answer 21

Don’t use BB!!!

CCB

Question 22

HTN

Answer 22

ACEI or ARB
CCB
Thiazide diuretic

Question 23

Proteinurea

Answer 23

ACEI or ARB

Question 24

HTN Emergency

Answer 24

IV Labetalol

Question 25

Acute Pericarditis

Answer 25

Rest + NSAIDs | Colchicine 3 mo if necessary

Question 26

Cardiac tamponade

Answer 26

Pericardiocentesis

Question 27

HFrEF

Answer 27

BB (metoprolol succinate, bisoprolol, carvedilol) ACE-I Lasix

Question 28

HFpEF

Answer 28

Treat underlying symptoms, include Lasix

Question 29

Hyperlipidemia

Answer 29

Atorvastatin or Rosuvastatin (40 or 80mg)

Question 30

SVT

Answer 30

Verapamil or adenosine

Question 31

V-tach with no/minimal LV dysfunction

Answer 31

Procainamide