Cardio Review 2 Flashcards

(46 cards)

1
Q

What will you hear on auscultation of an atrial septal defect?

A

Low grade murmur d/t low blood flow velocity

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

Are atrioventricular septal defects more common in cats or dogs?

A

Cats

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

Are AV valve malformations more common in cats or dogs?

A

Cats

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

Which dog breeds are predisposed to tricuspid valve malformations?

A

Labs, boxer, GSD

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

Which dog breeds are predisposed to mitral valve malformations?

A

Great dane, GR, Newfoundland

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

What type of AV valve malformation is most common?

A

Regurgitation

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

When regurgitation is severe, the corresponding ventricle is usually _____

A

Small

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

Tricuspid valve malformations cause what type of hypertrophy and which side of the heart is affected?

A

R eccentric (volume)

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

Mitral valve malformations cause what type of hypertrophy and which side of the heart is affected?

A

L eccentric (volume)

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

What type of murmur will you hear with AV valve malformations?

A

Atypical systolic murmur

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

How do you treat tricuspid valve malformations?

A

ACE inhibitors (or BV for stenosis)

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

Causes a splintered QRS complex

A

Tricuspid valve malformations

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

How do you dx tricuspid and mitral valve malformations?

A
Tricuspid = echo
Mitral = radiographs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How do you treat LVOT assoc. w/mitral valve disease?

A

Beta blockers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the 2nd most common acquired disease in dogs?

A

DCM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the most common heart disease in cats?

A

HCM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What dog breed has the highest prevalence of DCM and why?

A

Dobermans have PDK4 + NCSU DCM2 mutations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Which dog breed has a juvenile onset of DCM?

A

Portuguese water dogs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Which cat breeds is HCM heritable and why?

A

Maine Coon, ragdoll, DSH have mutation in myosin binding protein C

20
Q

What is the most common presenting sign of HCM?

A

Dyspnea/tachypnea

21
Q

What type of hypertrophy does DCM cause and which side of the heart is affected?

A

L eccentric (volume)

22
Q

What heart sound will DCM produce in CATS?

23
Q

What heart sound will HCM produce in cats?

A

L systolic murmur, gallop

24
Q

How do you diagnose HCM in an asymptomatic cat (incidental finding)?

A

Wall thickness >6mm (echo)

25
What should be measured in any atypical breed with DCM?
Blood taurine
26
What diagnostic tool can ddx cardiac vs. non-cardiac causes of resp signs?
NT-proBNP
27
How do you treat occult (asymptomatic) DCM?
Benazepril + pimobendan
28
How do you treat overt (symptomatic) DCM (heart failure)?
Furosemide, pimobendan, ACEi, spironolactone
29
How do you treat pleural effusion assoc. w/HCM?
Thoracocentesis, furosemide
30
What is the most common adult onset heart disease in Boxers?
Arrhythmogenic RV cardiomyopathy (ARVC)
31
What is the heritability of ARVC?
Autosomal dominant deletion mutation w/incomplete penetrance
32
What % of Boxers have ARVC?
30%
33
Which region of the heart is primarily affected by ARVC?
RV
34
What ECG characteristics will you see with ARVC?
VPCs, VT, R-on-T
35
How do you dx ARVC?
24h holter monitor
36
When does ARVC require treatment?
>180 VPCs/24h, runs of VT, or R-on-T
37
What is the treatment of choice for ARVC?
Sotalol
38
Any cat with heart disease should also have this drug added to their medication regimen
Clopidogrel
39
What is the most common clinical sign of infectious endocarditis?
Lameness
40
What causes lameness assoc. w/endocarditis?
Immune complex formation
41
Which animals are predisposed to endocarditis?
Previous diagnosis of subaortic stenosis | Recent history of infection
42
Which valves are most commonly affected by endocarditis in small animals?
Mitral, aortic
43
What organisms cause endocarditis?
Strep intermedius, Staph aureus, E. coli, Brucella, Pseudomonas
44
What ECG characteristics will you see with endocarditis?
VPCs, VT, 3* AV block
45
What empirical tx can you give to an endocarditis patient until C&S results?
Beta lactam + aminoglycoside/enro
46
When should you NOT give aminoglycosides to an endocarditis patient?
CHF signs (adverse effects on kidneys)