Flashcards in Cardiology Deck (17):
Pt on Amiodarone.
Monitor levels periodically?
- can develop hyper or hypothyroidism
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
JNC 8, first line meds?
- ACE, ARBs, CaCB, Thiazides
- ACE not for AA
- BB NOT first line
Pain relieved by leaning forward
Diffuse ST elevation
Pericardial friction rub
Elderly with HTN, asymptomatic
- test to assess cardiovascular risk?
ECG is not for asymptomatic patient!!!
Seen in Diastolic dysfunction?
Patient with low ejection fraction and MI; <35%
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)
Older patient with AS and Murmur
Progressive dyspnea + chest pain + dizziness
Patient on 3 -5 BP meds
Bruit on the right umbilicals
Renal artery stenosis
Cause of Resistant HTN in adults
2. Primary Aldosteronism
Adenosine then Cardiovert
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
Patient with asymptomatic AS
What if EF is low?
1. RPT echo in 3 yrs
2. give ACE!
SVT tx that can be for acute and long term?
Verapamil which is a CaCB
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
Patient with Systolic CHF.
Already on ACE and BB
What else can you add to decrease mortality and risk of hospitalization