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Flashcards in Rapid Review Cardiovascular Deck (125)
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1

fClassic EKG finding in atrial flutter

Sawtooth P waves

2

Definition of unstable angina

Angina that is new, worsening, occurs at rest

3

Antihypertensive for diabetic pt w/ proteinuria

ACEI

4

Becks triad for cardiac tamponade

Hypotension
Distant heart sounds

JVD

5

Drugs that slow HR

Beta blockers

CCB

Digoxin

Amiodarine

6

Hypercholesterolemia Tx that leads to flushing and pruritis

Niacin

7

Mumur of HOCM

Systolic ejection murmur along lateral sternal border that increases with decreased preload (i.e. Valsalva)

8

Murmur of aortic insufficiency

Austin flint murmur:

Diastolic, descrescendo, low pitched, blwing murmur best heard sitting up

Increases with increased afterload (i.e. handgrip)

9

Murmur of AS

3 cases when valve replacement needed

Systolic crescendo-descrescendo radiates to neck

Increases with increased preload

Replace: ACS- angina, CHF, syncope

10

Murmur of MR

Holosystolic mumur that radiates to axilla or carotids

Increases with increased afterload (handgrip)

11

Mumur of MS

Diastolic mid to late low pitched mumur preceded by opening snap

12

Tx for aflutter and afib

Unstable - cardiovert

Stable or chronic- rate control with CCB or Beta blocker

13

Tx vfib

Immediate cardioversion

14

Dressler's syndrome

AI reaction

Fever, pericarditis, increased ESR 2-4 weeks post MI

15

IVDU with JVD and holosystolic murmur at left sternal border....Tx

Treat existing HF and replace tricuspid valve

16

Diagnostic test for HCM

Echo (shows thickened LV wall and outflow obstruction)

17

Pulsus paradoxus

Decrease in SBP >10 mmHg with inspiration

Seen in cardiac tamponade

18

Classic EKG in pericarditis

Low voltage, diffuse ST segement elevation, PR depression

19

Definition of HTN

BP >140/90 on 3 separate occassions 2 weeks apart

20

Eight surgically correctable causes of HTN

1. Renal a stenosis

2. Coarctation of the aorta

3. Pheochromocytoma

4. Conn's syndrome

5. Cushing syndrome

6. Unlateral renal parenchymal disease

7. Hyperthyroidism

8. Hyperparathyroidism

21

Evaluation of pulsatile abdominal mass and bruit

ABD US and CT

22

Indications of surgical repair of AAA

>5.5 c, rapidly enlarging, symptomatic, ruptured

23

Tx ACS

MONA: morphine, ASA, sublingual nitrogen, O2 +heparin, clopidogrel, IV beta blockers

24

Metabolic syndrome

1. Abdominal obesity

2. High TG

3. Low HDL

4. HTN

5. IR

6. Prothrombotic or proinflammatory states

25

Dx test for 50 y.o. man with stable angina that can exercise to 85% of max HR

Exercise stress treadmill with ECG

26

Dx test for 65 y.o. woman with LBBB and severe OA with unstable angina

Pharmacologic stress test (dobutamine echo)

27

Target LDL in pt w/ DM

<70

28

Signs of active ischemia during stress test

1. Angina

2. ST segment changes on EKG

3. Drop in BP

29

EKG findings suggesting MI

ST segment leevation (depression means ischemia), flattened T waves, Q waves

30

Anterior wall is suppled by which aa

LAD

Diagonal