Cardio Flashcards

(48 cards)

1
Q

Secondary ACS prevention?

A

Aspirin, clopidogrel, B blocker, ACEi, statin

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2
Q

Adenosine SE?

A

Chest pain
Bronchospasm - avoid in asthmatics
Transient flushes

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3
Q

What rhythms are shockable?

A

VF and Pulseless VT

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4
Q

BBlocker + Verapamil =

A

VerapaKILL

Complete heart block

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5
Q

Type A and B aortic dissection?

A
A = ascending aorta (2/3 of cases) - surgical management 
B = descending aorta - conservative management
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6
Q

CXR aortic dissection?

A

Widened mediastinum

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7
Q

Top 2 causes of sudden cardiac death?

A
  1. Hypertrophic cardiomyopathy

2. Arrythmogenic right ventricular cardiomyopathy

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8
Q

What is ARVC?

A

Right ventricular myocardium replaced by fatty tissue.
Presents with palpitations, syncope and sudden cardiac death.
Epsilon on ECG.

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9
Q

ARVC management?

A

Solatol
Catheter ablation to prevent Vtach
Implantable cardioverter-defibrillator

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10
Q

Naxos disease

A

ARVC, palmoplantar keratosis, wooly hair

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11
Q

Atrial myxoma

A

Most common primary cardiac tumour.
75% in left atrium.
Mid-diastolic murmur = tumour plop

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12
Q

BBlocker SE?

A
Bronchospasm
Fatigue
Cold peripheries
Sleep disturbance - nightmares
Erectile dysfunction
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13
Q

Bivalirudin

A

Reversible direct thrombin inhibitor used as an anticoagulant in ACS

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14
Q

Brugada Syndrome?

A
Can cause sudden cardiac death.
Inherited.
Convex ST elevation in V1-V3 with a negative T wave.
Partial RBBB.
Manage with implantable cardioverter.
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15
Q

What is the first cardiac enzyme to rise?

A

Myoglobin

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16
Q

Why is CK-MB useful?

A

To look for re- infarction as returns to normal after 2-3 days

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17
Q

What type of valvular defect is most common after infective endocarditis?

A

Aortic regurgitation

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18
Q

Aortic regurgitation presentation?

A
Early diastolic murmur
Collapsing pulse
Wide pulse pressure 
Quincke's sign
De Musset sign
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19
Q

How does pericarditis present?

A

Pleuritic chest pain, relieved by sitting forward.

Tachypnoea and tachycardia

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20
Q

ECG changes in pericarditis?

A

Saddle shaped ST elevation.

PR depression.

21
Q

Pericarditis treatment?

A

NSAIDs and colchicine

22
Q

Beck’s Triad?

A
  1. Muffled heart sounds
  2. Raised JVP
  3. Hypotension

= CARDIAC TAMPONADE

23
Q

Cardiac tamponade treatment?

A

Pericardiocentesis

24
Q

Cardiac tamponade ECG finding?

A

Electric alternans

25
How does a posterior MI present on ECG?
Tall R waves in V1-V2
26
Takotsubo cardiomyopathy?
Stress induced. Eg. pt finds out family member dies, develops chest pain and features of HF. Transient, apical ballooning of myocardium. Supportive treatment
27
Sudden dyspnoea and pleuritic chest pain. Calf pain/swelling. COCP user. Malignancy
PE
28
Tearing chest pain radiating through to back
Dissecting aortic aneurysm
29
Boerhaaves Syndrome
Spontaneous rupture of oesophagus due to repeated vomiting. Sudden onset severe chest pain. CT contrast swallow.
30
CHF management?
1. ACE + B blocker 2. Spironolactone or epleroenone 3. Ivabradine/sacubitril-valsartan/digoxin Also offer annual flu and one of pneumococcal
31
Class of drug of clopidogrel?
Thienopyridines. | Antagonist of P2Y12 ADP receptor, inhibiting activation of platelets.
32
Coarctation of the aorta?
congenital narrowing of the descending aorta
33
Presentation of coarctation of the aorta?
Radio femoral delay Mid systolic murmur over back Apical click from aortic valve Notching of inferior border of ribs
34
Kussmauls sign
Increased JVP on inspiration
35
V Tach management
Amiodarone | Lidocaine
36
What drug is avoided in VT
Verapamil
37
Pulsus paradoxus
Drop in BP on inspiration
38
What drug is the commonest cause of drug-induced angiooedma?
ACEi
39
Rheumatic Fever
Immunological reaction to recent (2-6 weeks ago) strep infection
40
Features of RF
``` Erythema marginatum Syndenhams chorea Polyarthritis Carditis and valvulitis Subcutaneous nodules ```
41
Statin + clarithromycin =
myopathy
42
What is the action of statins
HMG-CoA reductase inhibitors
43
Broad complex tachycardia =
V tach
44
Where are inhaled foreign objects most likely to be found?
Right main bronchus
45
Nitrates SE
Hypotension Tachycardia Headaches Flushing
46
Warfarin + Fluconazole =
Monitor INR
47
Pharmacological options for orthostatic hypertension?
Fludrocortisone and midodrine
48
Sinus bradycardia management?
500 micrograms IV atropine