Flashcards in Cardio I (From Quarter 4) Deck (36):
what will cause a widened mediastinum
how do you diagnose LV hypertrophy
most common cause of LV hypertrophy
Lasix + cramping means what?
chest pain is most often caused by what?
biggest physical exam symptoms in heart failure
lower extremity edema
if someone has aortic stenosis what should you get before a stress test?
stress test for someone who can't walk?
nuclear stress test
If you see "calcified coronary arteries" what do you think of?
doesn't necessarily mean obstructive coronary dz
need to get symptoms, ECG, etc.
with pleural effusions with CHF is the onset gradual or quick?
what can you do to rule out renal causes of BP (secondary)
if BP is elevated what should you start with?
Lifestyle modifications for first 3-6 month if midly elevated
what usually causes flash pulmonary edema?
is nitroglycerin a great antihypertensive med?
what is BIPAP?
Bilevel positive airway pressure
what does BIPAP help perfuse?
acutely hypertensive with sharp, stabbing back pain?
what is back pain like with MIs?
Dull (referred pain)
what is a normal EF?
less then 55% EF is considered what?
LV dysfunction or diminished EF
what percentage are you at increased risk of having sudden cardiac death due to arrhythmia? mainly vtach and vfib
<30% ejection fraction (need an AICD)
what causes diastole heart failure?
what is diastolic dysfunction
tight, stiff heart
study that created a lot of criteria for cardiac things?
You lie down then sudden wake up gasping for air and have to sit up.
Paroxysmal nocturnal dyspnea (PND)
what type cough do people with CHF get?
what may be elevated with CHF?
BNP, but can be elevated for other reasons
NYHA class with No limitations: No sx with walk/jog, carry
NYHA class I
NYHA class with Marked limits: OK rest, Sx with light work/activity or walk > 2.5 mph
NYHA class where ’Cardiac cripple’: Sx at rest, often O2 dep
NYHA class IV
NYHA class with Few limits: OK rest, Sx-fatigue, palpitations angina beyond light activity, > 4 mph
biggest 2 meds to give people in systolic dysfunction
when do you give digoxin?
Help with symptoms
when do you give anticoagulants?
Need another reason
consider if EF <30% (LV thrombus)
What does CHADS stand for?
Age > 75
consider anticoag if score >2