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25 Cards in this Set

  • Front
  • Back
What category of drugs is useful in asymptomatic patients with severe aortic regurgitation and systolic hypertension?
E: Vasodilator therapy is useful.
A: vasodil
What are the indications for valve replacement in chronic aortic regurgitation?
E: Symptoms, LV systolic dysfunction, significant LV dilatation
A: sympt, syst, dilat
What are the four indications for surgery in chronic mitral regurgitation?
E: Symptoms, atrial fibrillation, pulmonary hypertension, LV systolic dysfunction
A: symp, (fib)|(AF), pulm, dysf
Ischemic mitral regurgitation may be treated with revascularization. T/F?
E: Fales -- revascularization alone is not helpful.
A: F
A late peaking systolic murmur suggests what?
E: Left ventricular outflow obstruction.
A: outflow
A young adult has a soft S3. Is this significant?
E: No
A: N
The intensity of a flow murmur (increases/decreases) with Valsalva.
E: Decreases
A: D
Murmurs of dynamic subvalvular outflow obstruction (increase/decrease) with Valsalva.
E: Increase
A: I
The murmur of aortic stenosis (increases/decreases) with Valsalva.
E: Decreases
The murmur of pulmonic stenosis (decreases/increases) with Valsalva.
E: Decreases
A: D
The murmur of mitral and tricuspid regurgitation (increases/decreases) with Valsalva.
E: Decreases
A: D
Flow murmurs peak in the first/second half of systole.
E: First
A: F
Which systolic murmur is the exception to the rule which says that systolic murmurs decrease with Valsalva?
E: Dynamic subvalvular obstruction as in hypertrophic cardiomyopathy.
A: H
What is the valve area in severe aortic stenosis (cm2/m2)?
E: 0.45 cm2/m2 of body area.
A: .45
A mean transvalvular aortic gradient of greater than _ indicates severe aortic stenosis.
E: 50 mm Hg
A: 50
How often should patients with aortic stenosis have echocardiograms?
E: Every 5 years for mild, 2 years:moderate; 1:severe
Exercise testing is contraindicated in symptomatic aortic stenosis. T/F?
E: True;
Aortic valve replacement surgery should be performed in symptomatic patients who will undergo noncardiac surgery. T/F
What are the indications for closure of atrial septal defect in adults?
E: The pulmonary-to-systemic shunt ratio should be greater than 1.7:1. In the case of VSD, there should be left ventricular volume overload; ASD: right ventricular volume overload.
All PDAs associated with should be closed to reduce the risk of bacterial endocarditis. T/F?
E: True
What are the indications for phlebotomy in congenital heart disease?
E: Phlebotomy is indicated only for patients who are symptomatic hyperviscosity and have Hgb greater than 65 mg/dL.
A: symp
Which cyanotic patients are at highest risk for stroke?
E: Patients with iron deficiency.
A: iron
Pregnancy is strictly contraindicated in patient with Eisenmenger' syndrome. T/F?
E: True -- maternal mortality is greater than 50%.
A: T
Which patients with cyanotic congenital heart disease are at high risk for endocarditis, stroke and arryhthmias following surgery?
E: Patients who have had palliative surgery in childhood.
A: palliative
What is the best predictor for sudden death in adult patients with tetralogy of Fallot?
E: QRS interval greater than 180.