6/5 Flashcards

1
Q

What is Dressler’s syndrome?

A

Post-ACS pericarditis - 2-6wks after the event

Chest pain and fever

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Management of STEMI

A

MONAT AND ANTI-EMETIC

IV morphine
Oxygen
Nitrates - GTN spray
Aspirin - 300mg PO + tricagerlor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Explain the differences in management pre and post 12hrs since onset in STEMI

A

<12hrs since onset

<2hrs to PCI - angiograph + PCI
>2hrs to PCI - thrombolysis with alteplase etc.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Management of NSTEMI

A
  1. MONA+T and ANTI-EMETIC
    +
  2. Anti-thrombin e.g. LWMH/fondaparinux

If high risk - angiogram in <96hrs of symptom onset

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Complications post MI

How can you tell the difference between rupture of papillary muscles/free wall and septal wall

A

DREAD
Death
Rupture of papillary muscles + septal wall
Embolism/ oEdema (= heart failure)
Anersym and arrythmias
Dressler’s syndrome

Papillary muscles/free wall = tamponade like picture - lots of bleeding into the pericardium

Septal wall = pansystolic murmur and clear heart soudns

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is a normal ejection fraction?

A

60-65%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is high output HF?

What are the causes?

A

HF caused by the heart working very fast but not getting adequate oxygen to the tissues

Causes - AAPPTT
Anaemia (most common cause - always manage anaemia in HF)
Arteriovenous malformation
Pregnancy
Paget’s disease
Thyrotoxicosis
Thiamine deficency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Management of narrow complex tachycardia

A
  1. Regular or irregular?

Regular
- vagal manouevers
- adenosine up to 30mg

  • if not fixed - get expert help

Irregular (likely AF)
- b-blockers OR dilitazem (if can’t have b-blockers) to control rate
- if heart failure ~amiodarone/digoxin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How can you reverse a B-blocker OD (would cause bradycardia)

A

IV glucagon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How does digoxin work?

A

Blocks the AV node and reduces HR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the vagal maoeuvers?

A

Put syringe in someones mouth and ask to blow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

In infective endocarditis, what valve is most commonly affected in:
- PWID
- everyone else

A

PWID = tricuspid valve
Everyone else = mitral valve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly