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ITE 2015 + 2016 > Cardiology > Flashcards

Flashcards in Cardiology Deck (17):
1

Pt on Amiodarone.
Monitor levels periodically?

TSH
- can develop hyper or hypothyroidism

2

Patient with Prolong QT now have bacterial sinusitis? Which drug to avoid?

Clarithromycin- interferes with the delayed pectifier potassium current
- increase K in the Myocytes hence delayed cardiac depolarization causing prolong QT

3

JNC 8, first line meds?

- ACE, ARBs, CaCB, Thiazides
- ACE not for AA
- BB NOT first line

4

Pericarditis
Presentation?
Treatment?

Pain relieved by leaning forward
Diffuse ST elevation
Pericardial friction rub

TX: NSAIDS

5

Elderly with HTN, asymptomatic
- test to assess cardiovascular risk?

Lipid panel
ECG is not for asymptomatic patient!!!

6

Seen in Diastolic dysfunction?

Preserved EF

7

Patient with low ejection fraction and MI; <35%
Meds needed?
Meds harmful?

1. ACE, aldosterone receptor antagonist, STATIN
2. Nondihydropyridine CaCB like verapamil and Diltiazem may be harmful due to negative inotrophic effect(weaken the force of muscular contraction)

8

Older patient with AS and Murmur
Most concerning?

Progressive dyspnea + chest pain + dizziness

9

Patient on 3 -5 BP meds
Bruit on the right umbilicals
Increasing creatinine
DX?
Mgt?

Renal artery stenosis
Monitor creatinine

10

Cause of Resistant HTN in adults

1. OSAS
2. Primary Aldosteronism
3. RAS

11

SVT
TX?

Adenosine then Cardiovert

12

When do Dentist need to give Prophylaxis? Four

1. Prosthetic valves
2. Unrepaired cyanotic Congenital heart disease
3. Prev hx of Endocarditis
4. Heart transplant

13

Patient with asymptomatic AS
Mgt?
What if EF is low?

1. RPT echo in 3 yrs
2. give ACE!

14

SVT tx that can be for acute and long term?

Verapamil which is a CaCB

15

32 y/o Patient with chest pain.
ECG shows Acute pericarditis-->PR depression, ST Elevation in I,II,III,aVL, aVF; PR elevation and ST depression in aVR; Sinus Tracy due to pain

TX?

NSAIDS: Indomethacin

16

Patient with Systolic CHF.
Already on ACE and BB
What else can you add to decrease mortality and risk of hospitalization

Spironolactone!

17

25 y/o Male with racing heart
ECG showed narrow QRS complex at a rate of 180
Vasogal and Adenosine did not help
What's next?

Verapamil or Diltiazem