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Flashcards in Heart ll Deck (22)
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1

Ankle Brachial Index
normal
gangrenous

> 0.95 normal
< 0.2 gangrenous

2

Aortic dissection/aneurysm presentation

sharp constant pain unrelated to movement
peripheral pulses & BP different on ea side
chest pain w radiation to back, abd, neck

3

nitroglycerin for what?
if it doesn't help chest pain what does it rules out?

angina
if chest pain not better w NO r/o angina

4

Sudden onset of syncope - think what cause?

HT block

5

if > 50 yo w sudden onset dysrhythmias, think what?

Bundle branch block

6

born with it - SA node bypasses AV to accessory bundle causing ______

WPW
premature ventricular activation

7

Diastolic Murmur indicates what?

HT disease

8

Heparin - what clotting factors?

antithrombin lll

9

If a pt is on digoxin and comes into the ER, do what?

check blood levels

10

Digoxin toxicity?
mechanism?

looks like the flu & yellow halo vision
increase intracellular Ca - AP length

11

Anti-arrhythmic drug from Cinchona plant

Quinidine

12

Toxicity of Quinidine

looks like menieres (tinnitus, hearing loss, HA, N, dizzy, vertigo)

13

When to use amiodarone

antiarrhythmic
ACUTE

14

Testing for Endocarditis

blood culture
ECHO confirm vegetations

15

Pt had a URI and now has fatigue dyspnea and palpitations. What do you suspect?

myocarditis
viral
see w HT failure

16

Pt has sharp stabbing pain in chest that is worse leaning forward.

Percarditis

17

Pericarditis
EKG
upon auscultation

ST elevation in all leads
friction rub

18

nitroglycerin ADR

HA!!!
also dizzy, low BP, tachy, brady

19

MI presentation timing

cycles of 3-5 min > 30 min

20

LDH1 > LDH2 indicates what?
timing?

MI
levels at 12-48 hrs post MI

21

What tests 4-8 hrs post MI are elevated?

CK/MB
Myoglobin

22

Ischemia EKG

upside down T wave