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12 Cards in this Set

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  • Back
when interpreting/evaluating an ekg leads V1-V4with ST segment elevation represent infarct to what part of the heart and is supplied by what vessels.
*Anterior wall MI
*left anterior descending branch of the (LCA)
MCC of sudden death in young athletes. Hypertrophy of the the cardiac septum leads to left vetricular obstrution. and impaired diastolic filling.murmur increased with valsalva and decreases with leg raise and hand grip. thi is most likly what kind of cardiomyopathy?
Hypertrophic.
TX:
*beta blockers;(propanolol) slow HR,& allow for icrease diastolic filling time
*Calcium channel blockers; improve ventricular compliance
Diuretics;treat the fluid overload.
Sarcoidosis amiloidosis& hemochromatosis is most likely associated with what cardiomyopathy?
restrictive
Pt with dilated cardiomyopathy
is likely to be ?
An alcoholic.
in a pt with pt with st seg elevation with ACS, whom you want to give ASA but are allergic. what therapy should be givin.
Thienopyridines=Clopidogrel(plavix)
300-600mg. loading dose and 75 mg maintenance dose
What is the medication of choice for pt with HTN & STEMI
B-blockers
medication of choice for pt.s with obesity and
metformin
Common causes of DILATED cardiomyopathy
1.Ischemic, 2. infections(hiv,coxsackie virus chaga's dz), metabolic drugs, (ETOH, doxorubicin, AZT)
MCC of sudden death in young adults, with relation to cardiomyopathy
Hypertrophic cadiomyopathy
a cardiomyopathy associated with amyloidosis scleroderma, hemochromatosis, sarcoidosis, and has no cure
Restrictive cardiomyopathy
ST elevation in all leads
pericarditis
in dukes criteria the two major criteria are
+blood cultures ,+echocardiogram(transesophageal)