Flashcards in cardiology Deck (214)
Acronym for etiology of dilated cardiomyopathy
5 components tetralogy of fallot
1. pulmonary valve stenosis
3. over riding aorta
4. right ventricle hypertrophy
5. right sided aortic arch
crescendo-decrescendo, with a loud S2, cyanosis
when does tetralogy of fallot become a problem
when the PDA closes, 2-10 days
tx for neonate coarctation short term/long term
prostaglandins, in tropes, give as little o2 as possible. will need surgery
restriction for coarctation
exercise and watch for bacterial endocarditis
murmur for ASD
fixed split S2, rumble
most common ASD
tx for ASD
most close on own, others will have to be closed surgically
holosystolic or pansystolic
heart sound for CHF
parasternal lift, enlarged, diminished first heart sound, S2 gallop
Tx of CHF
1. ACE !!!!! (will decrease after load and help renal perfusion) make it easier for weak heart to pump b/c resistance is decreased.
3. BB (decrease catecholamine levels, that predispose to arrythmias)
best dx test for CHF
patient with CHF and EJ is less than 35= tx?
acute pulmonary edema /decompensated CHF
1. decreased L ventricle contractility 2. increase preload, 3. increase after load (resistance)
USE CPAP or BIPAP!!!!
Acute exacerbation of CHF acronym
LMNOP (lasix, morphine, nitro, oxygen and position (elevate head of bed)
cushing syndrome features
buffalo hump, hyper pigmentation of striated and hypertension!!
tx for patient with HTN and chronic kidney dz
ACE (renal protective) until GFR goes bad & creatinine is 2=stop HTN.
Tx for HTN emergency
Reduce MAP by 25% in the first couple of hours, then gradually reduce over 24 hours using IV labetolol, Nipride, and Nicardipine, enalaprilat
only exception of HTN emergency 24 hour rule?
tx for atherosclerosis
stop smoking, control HTN, DM and dyslipidemia, reduce weight, exercise and diet
what is metabolic syndrome
1. abdominal obesity
2. triglycerides >150
3. HDL 110
length and tx of stable angina
3 minutes and relieved with nitro
EKG finding of stable angina
ST depression and nonspecific t wave changes
definitive dx procedure for ischemic heart dz
What two medications should all stable angina patients be on?
Aspirin and BB (ACE or CCB) can also be used for blacks, DM and renal patients
What is dressers syndrome
post MI, pericarditis, fever, leukocytosis, and pleural effusion. usually occurs 1-2 weeks after the event
ST elevation >1mm in two contiguous leads