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9 Cards in this Set
- Front
- Back
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Management of VT |
With pulse: a. Hemodynamically stable: antiarrhythmics (amiodarone, lidocaine). B. Hemodynamically unstable (hypotension, decreased consciousness, cardiac failure): immediate electrical cardioversion Without pulse: immediate electrical cardioversion |
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Types of Heart block |
1°: prolonged PR interval (>0.2s ) 2° mobitz type 1: progressive prolongation of PR until a drop beat 2°: Mobitz type 2: Prolonged PR followed by a drop beat 3°: P wave occurs at regular interval but uncoordinated with QRS complex |
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HTN management |
Step 1: age<55: ACEI. age>55 or black afro Caribbean: CCB Step 2: ACEI + CCB Step 3: ACEI + CCB + Thiazide like diuretics |
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Clinical features of Cardiac Tamponade and management |
BECK'S triad: muffled heart sound, engorged neck veins and hypotension. Also high heart rate, globular heart in CXR. Investigation: Echo Management: Pericardiocentesis |
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Clinical Features and management of Pulmonary Edema |
Chest pain, shortness of breath, orthopnaea due to Heart failure may lead to pulmonary edema. Management: 1. Sit patient up and O2 2. GTN sublingual 2 puff 3. Furosemide 40 mg IV 4. Morphine 5-10 mg IV |
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Clinical features of MI |
Central, crushing, radiating chest pain. Cardiac enzymes confirm NSTEMI. ECG confirms STEMI. Management: 1. O2 2. Aspirin 300 mg followed by 75 mg daily 3. Morphine IV and metoclopromide 4. GTN sublingual 5. PCI/ angioplasty/ Thrombolysis |
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Clinical features and management of Infective Endocarditis |
Fever + new murmur = infective Endocarditis R/f: valve replacement, IV drug abuse, dental procedures Clinical features: 1. Septic sign: fever, night sweats 2. Cardiac: new murmur 3. Immune complex deposition: Roth spots in retina, splinter hge, painful Osler's nodes in finger pulp 4. Embolic : Painless Janeway lesion |
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Mitral Regurgitation |
C/f: 1. Previous disease that affects Mitral valve (rheumatic fever) 2. S/s of Pulmonary Edema 3. Pansystolic murmur (MR, TR, VSD) 4. CXR: enlarged left side of heart |
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Tetralogy of Fallot |
Commonest CHD, presents around 1-2 months |
