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23 Cards in this Set

  • Front
  • Back
What drugs may be used to terminate or prevent supraventricular arrhythmias?
IV adenosine
IV or Oral verapamil
Which Supraventricular arrhythmia usually occurs in patients with COPD, CHF, ASD or CAD?
Atrial flutter
Which Supraventricular arrhythmia usually occurs in patients with normal hearts or those with myocarditis, CAD or digitalis toxicity?
Junctional
What is Ventricular tachycardia usually a complication of?
MI
Dilated Cardiomyopathy
Name the syndrome that is a genetic disorder, m/c in asians and in men, that cause syncope, ventricular fibrillation and sudden death?
Brugada's syndrome
What two electrolyte deficiency may cause Torsades de pointes?
Hypokalemia and Hypomagnesemia
How is Torsades de pointes treated?
B-blockers
Mg
Temporary atrial/Ventricular pacing
What treatment is indicated for all of the below?
1. Chronic recurrent sustained V tach without a reversible cause,
2. Congenital Long QT
3. Brugada's syndrome
Implantable defibrillator
What is the treatment for symptomatic patients with sick sinus syndrome?
Permanent pacing
Name the type of dilated cardiomyopathy that occurs after a major catecholamine discharge.
It is an apical left ventricular ballooning which is indistinguishable from an acute MI?
Takotsubo cardiomyopathy
Which cardiomyopathy is associated with an S3 gallop?
Dilated
Which cardiomyopathy is associated with an S4 gallop?
Hypertrophic cardiomyopathy
Which cardiomyopathy is associated with an bisferiens carotid pulse and a JVP pusation with a prominent a-wave?
Hypertrophic cardiomyopathy
Electrical alternans is pathognomonic for what disease?
Cardiac Tamponade
What do you think of if a patient has pleuritic substernal chest pain relieved by sitting upright or leaning forward. (friction rub typically present?)
Acute pericarditis
What is the most common infecting organism in infective endocarditis association with Iv drug abuse?
Staph aureus, tricuspid valve
What is the most common infecting organism in a patient with left sided subacute bacterial endocarditis?
Strep Viridans
What are the most common fungal infections in infective endocarditis?
Candida and aspergillus
What is the initial treatment for infective endocarditis prior to finding out the infecting organism?
Vancomycin or Nafcillin + gentamicin
What valve is most commonly involved in Rheumatic heart disease?
Mitral then aortic
Name the phoshodiesterase inhibitor that is the main treatment for PAD?
Cilostazol (inhibits platelet aggregation)
What type of arteritis is associated with Polymyalgia rheumatica?
Giant cell (Temporal arteritis)
What are the labratory findings in a patient with Giant cell (temporal arteritis?)
1. Increased ESR
2. Increase C- reactive protein
3. Normochromic normocytic anemia
4. Thrombocytosis