Cardiology Flashcards
(107 cards)
Fixed split 2nd heart sound.
ASD
Pt with fever, weight loss, and fatigue for several months. Diastolic sound with a soft rumble or pulp at the apex
Atrial myxoma
Murmurs that increase with inspiration
tricuspid stenosis
A murmur of aortic stenosis is best heard on
expiration
HOCM vs. AS. which increases with Valsalva
HOCM
16yo boy comes for a routine check-up. Murmur radiating throughout the precordium. No change with Valsalva and EKG shows mild LVH
VSD
most common murmur in adult hood on the left sternal border
VSD
pt wants to know how to decrease his risk of CAD. he’s a smoker and LDL is 80
Same pt but LDL is much higher
Stop smoking
statin
60yo women with CP on exsertion who can exercise and has no EKG changes
get Exercise EKG
Male 40 yo or over with CP. w.t.d
Stress test
Women 60 yo or over with CP
Stress test
Male < 39 yo with CP on exertion or relieving factors
stress test
Female >50 with CP on exertion or relieving factors
Stress test
Pt needs a stress test. Can exercise and ekg shows ST-T changes or LVH. what test
Exercise echo
Pt needs a stress test. Can exercise and EKG shows LBBB or V-pacing. what test
Vasodilator MPI or SPECT/PET
Pt needs a stress test. Cant exercise, and a wheeze is heard on the exam
Dobutamine
Pt needs a stress test. Cant exercise and a wheeze is NOT heard on the exam
Dobutamine or any vasodilator (adenosine)
Pt needs a stress test. Cant exercise, and a wheeze is NOT heard on the exam and EKG shows LBBB or V-pacing
MPI
50 yo Male. can exercise and has LVH on his EKG
stress Echo
60 yo male. cant exercise and has normal ekg. hx of COPD and wheeze is heard on the exam
Dobutamine stress test
65 yo woman with exertional dyspnea and occasional chest pain. EKG showed LBBB. what test
Adenosine or Dobutamine PET
btw RBBB, LBBB, and pacemaker. WHich one can undergo exercise EKG
RBBB
Where is the lesion?
ST depressions in I, aVL, V4-V6
Left circumflex artery stenosis
Where is the lesion?
ST depression in II, III, aVF
RCA