What is normal waist circumferance?
What are possible causes of left ventricular hypertrophy?
Hypertension, hypertrophic cardiomyopathy, aortic stenosis
What treatment should be given for metabolic syndrome with LVH and ST depression and palpitations?
Aspirin for patients over 15% on Framingham
Treatment flowchart for AFib
CHAD score risk factors and relative risk
What does CHADS2 stand for?
Each gets a point:
C-congestive heart failure
S2-stroke or TIA (2 points)
What is the maximum risk for a maximum CHADS2 score
18.2x risk of stroke with a score of 6
At what CHAD score does the benefit for oral anticoagulants (warfarin) outweigh the risks of stroke?
What is the treatment for a CHAD risk of 0?
Nothing or aspirin
What is the treatment for a CHAD risk of 1
Aspirin or warfarin
What sort of upstream therapy prevents underlying disease causing AFib?
ACEIs, ARBs, Statins, Omega 3s, etc.
What can cause low BP, low pulse and engorged jugular veins?
Overparasympathetic activity leading to a heart block seen in inferior or posterior MI.
What causes engorged jugular veins?
What is the immediate treatment for MI?
Aspirin 300mg chewed, IV morphine, cath lab (if no time, thrombolysis).
What is the average hospital stay for an MI patient?
Most important to prevent after MI:
Arrhythmias, free wall rupture, future atherosclerosis, ischemia, LV remodeling froms carring.
What drugs should be given post MI?
A-antiplatelet (aspirin, clopidigrel for 1 year), B-beta blockeres, C-ACE inhibitor/Cholesterol lowering (statin, Ezetimibe, Fibrate/niacin), D-diet change
What is the reduced risk with aspirin?
What is the treatment for preload in MI in right ventricle?
What is the treatment for preload in MI in left ventricle?
Diuretics (NOT fluids, will drown)