5&6-uWorld Flashcards
(16 cards)
what do you hear in ASD?
FIXED splitting S2
L 2nd intercostal space midsystolic ejection murmur
ASD can cause R heart ___ and in turn ___ on EKG
volume overload
RBBB
sleep apnea in chf is characterized be _____ due to _____ breathing type
central sleep apnea
cheyne stokes breathing— periods of hypervent then hypopnea/apnea
pathoPhys:
pulm edema makes pulm vagal nerve irritated—>hypevent–>hypocapnia—> apnea induced—>hypoxia episode
tx: fix the decom chf!
the one time CHADSVSC not applicable for initiating AC !!!!
valvular afib
ie with mechanical valve or severe mitral stenosis with area 1.5orLess
opening SNAP and mid diastolic rumble
MS!
likely rheumatic cause
what will cause the GREATEST decrease in BP?
Low Na with DASH diet(fruits&veggies)
NOT weight loss
is the use of antiplatelet a contraindication to fibrinolytics?
NO
what BP is a contraindication to fibronolytic treatment, systolic and diastolic
> 180
110
ischemic stroke within this time period is an absolute contraindication to fibrinolytic
within 3mo
MC type of SVT
AVRT
ie WPW
complications of mv prolapse
what 2 factors increase the chances of all these happening
chf decomp
endocarditis
embolic stroke
arrhythmia: Afib or VT
sudden cardiac death
2factors:
-degree of MR (ie mod-severe)
and
-EF <50%
___ anemia can occur due to malfunctioning valves–most commonly ____ valve, and blood smear can show ___
hemolytic
mechanical (MC than bioprosthetic)
shistocytes
statins have a higher liklihood of causeing ____ isntead of rhabdo….and should they be stopped for this?
new onset DM2
NO DONT STOP
___ (statin) and norvasc have incr likelihood of causing rhabdo
simvastatin
what kind of famHx increases risk for Coronary artery disease?
Fem <60s
Male <50s
therefore mom in her 50s, dad in his 40s
which parts of the lipid panel have the greatest prognostic utility for CAD?
HDL and total Cholesterol
