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17 Cards in this Set
- Front
- Back
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Rate control drugs |
Beta Blocker Calcium Channel Blocker Digoxin |
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Maintain sinus rythm |
sotalol amiodarone flecanide |
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rate control indications |
>65 y/o hx of ischemic heart disease |
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rhythm control |
younger than 65 symptomatic first presentation lone AF or AF due to 2ndry percipitant Congestive heart failure |
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blood pressure target |
<80 y/o clinic bp: 140/90 Hbpm: 135/85 >80y/o clinic bp: 150/90 hbpm: 145/85 |
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BNP |
hormone produced by left ventricular if strained |
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BNP values |
High levels > 400 pg/ml (116 pmol/litre)> 2000 pg/ml (236 pmol/litre)
Raised levels 100-400 pg/ml (29-116 pmol/litre)400-2000 pg/ml (47-236 pmol/litre) Normal levels < 100 pg/ml (29 pmol/litre)< 400 pg/ml (47 pmol/litre |
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Factors increase BNP level |
Left ventricular hypertrophy IschaemiaTachycardia
Right ventricular overload Hypoxaemia (including pulmonary embolism) GFR < 60 ml/min Sepsis COPD Diabetes Age > 70 Liver cirrhosis |
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angina drugs |
- aspirin - statin - beta blockers/ calcium channel blockers - 1st line |
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mono therapy for angina (CCB) |
verapamil or diltiazem |
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combination therapy CCB+ B Blockers |
long acting dihydropyradine CCB (nifedipine) |
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risk: Verapamil + alpha blockers |
Complete heart block |
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STEMI management |
1. Aspirin 2. clopidogrel 3. unfractioned heparin |
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Afib with slow ventricular response management |
2 weeks aspirin 300mg od Lifelong anticoagulation (warfarin or direct oral anticoag) |
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Patent ductus arteriosus |
. Left subclavian thrill . Continuous machinery murmur . Large bounding pulse . Wide pulse pressure . Having apex beat |
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Narrow complex tachycardia mx |
1. Vagal manoeuvre 2. Iv adenosin 6mg stat, 12 mg, 12 mg 3. Eletrical cardiovert |
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Heart failure tx |
1. Ace i + b blockers 2. Aldosterone antagonist / angiotensin 2 receptor blocker + nitrates 3. Cardiac resynch or digoxin Diuretic if fluid overload |
