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Flashcards in cardiology Deck (214)
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1

Acronym for etiology of dilated cardiomyopathy

ABCD-PIG

2

5 components tetralogy of fallot

1. pulmonary valve stenosis
2. VSD
3. over riding aorta
4. right ventricle hypertrophy
5. right sided aortic arch

3

crescendo-decrescendo, with a loud S2, cyanosis

tetralogy fallot

4

when does tetralogy of fallot become a problem

when the PDA closes, 2-10 days

5

tx for neonate coarctation short term/long term

prostaglandins, in tropes, give as little o2 as possible. will need surgery

6

restriction for coarctation

exercise and watch for bacterial endocarditis

7

murmur for ASD

fixed split S2, rumble

8

most common ASD

ostium secundum

9

tx for ASD

most close on own, others will have to be closed surgically

10

VSD murmur

holosystolic or pansystolic

11

heart sound for CHF

parasternal lift, enlarged, diminished first heart sound, S2 gallop

12

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.
2. ARB
3. BB (decrease catecholamine levels, that predispose to arrythmias)
4. Diuretics

13

best dx test for CHF

ECHO

14

patient with CHF and EJ is less than 35= tx?

Pacer

15

acute pulmonary edema /decompensated CHF

1. decreased L ventricle contractility 2. increase preload, 3. increase after load (resistance)
USE CPAP or BIPAP!!!!

16

Acute exacerbation of CHF acronym

LMNOP (lasix, morphine, nitro, oxygen and position (elevate head of bed)

17

cushing syndrome features

buffalo hump, hyper pigmentation of striated and hypertension!!

18

tx for patient with HTN and chronic kidney dz

ACE (renal protective) until GFR goes bad & creatinine is 2=stop HTN.

19

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

20

only exception of HTN emergency 24 hour rule?

aortic dissection

21

tx for atherosclerosis

stop smoking, control HTN, DM and dyslipidemia, reduce weight, exercise and diet

22

what is metabolic syndrome

1. abdominal obesity
2. triglycerides >150
3. HDL 110
5. HTN

23

length and tx of stable angina

3 minutes and relieved with nitro

24

EKG finding of stable angina

ST depression and nonspecific t wave changes

25

definitive dx procedure for ischemic heart dz

coronary angiography

26

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

27

What is dressers syndrome

post MI, pericarditis, fever, leukocytosis, and pleural effusion. usually occurs 1-2 weeks after the event

28

define STEMI

ST elevation >1mm in two contiguous leads

29

Posterior leads

V1, V2

30

AnteroLateral leads

V4, V5, V6