Flashcards in CARDIOLOGY Deck (122)
Tx of Kawasakis
IVIG and high dose ASA. Echo in acute phase and 6-8 weeks later.
When is anticoag considered in superficial thrombophlebitis
In lower extremity or extension into femoral vein
Tx of small VSD
Monitor/reassurance. 40% close by 3 years and 75% close by 10 yrs
Tx of large VSD
Monitor nutirtion and weight gain due to higher risk of FTT
Treat CHF with ACE, diuretics, digoxin
Influenza vaccine and winter pavlivizumab if younger than 2 for RSV prevention
When are large VSD surgically repaired
Medical management fails
Signs of pHTN at
When is endocarditis ppx indicated in VSD patients
If it was surgically repaired
Common defect in pts with abstains anomal
PFO with R -- > L shunt. Also can have dilated RA giving increased risk of SVT and WPW
Tx of Abstains anomaly
PRopranolol for SVT
Next step in management of congenital heart disease with early cyanosis
PGE (keep it open!!!!)
6 week old infant presents to meds ER for irritability and is found to have signs of left sided heart failure. An EKG is interpreted as a left sided MI. What is most likely dx?
Anomalous origin of Left coronary artery (from pulm rather than aorta)
What class of meds is indicated in pts wit ha hereditary prolongation of QT interval in order to prevent v fib
Weak pulses in upper extremities -- which vasculitis?
Which vasculitis has necrotizing granulomas of lung and necrotizing GN
Which vasculitis has necrotizing immune complex inflammation of visceral and renal vessels
Poly arteritis nodosa
Which vasculitis is the most common
Which vasculitis is associated with Hep B
Which vasculitis a/w perf of nasal septum
Defects that comprise ToF
What are classic findings of HSP?
Persistent ST elevations in anterior leads 5 weeks after an MI
Tx of Prinzmetal angina
Contraindicated in prinzmetals angina
Beta blockers (non selective) because of unopposed alpha receptor vasoconstriction which can worsen sx cause death.
When should you consider 2 drug therapy in hypertension
When BP is more than 20/10 mmHg above goal.
Goal BP in pts >60
Combo therapy of choice in htn
ACE/ARB in concert with long acting dihydropyridine CCB.
ACE/ARB + diuretic can also be used but may be less beneficial.
Initial mono therapy for HTN in blacks
Thiazide or long acting CCB
Initial mono therapy in pts who have diabetic nephropathy or non diabetic CKD and proteinuria with HTN
ACE or ARB
Initial mono therapy in pt with ischemic heart disease or CHF with decreased EF along with HTN
Goal BP in pts with diabetes or CKD without proteinuria