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35 Cards in this Set

  • Front
  • Back
Class EKG finding in atrial flutter.
"Sawtooth " P waves
Definition of unstable angina.
Angina is new, is worsening, or occurs at rest.
Antihypertensive for a dibetic patient with proteinuria.
ACEI (ACE Inhibitor)
Beck's triad for cardiac tamponade.
1. Hypotension
2. Distant heart sounds
3. JVD
Drugs that slow AV node transmission.
Beta-blockers
Digoxin
Calcium channel blockers
Hypercholesterolemia treatment that causes flushing & pruritis.
Niacin
Treatment for atrial fibrillation.
anticoagulation, rate control, cardioversion
Treatment for ventricular fibrillation.
Immediate cardioversion
Autoimmune complication occuring 2-4 weeks post-MI.
Dressler's syndrome:
fever, pericarditis, increased ESR
IV drug use with JVD & holosystolic murmur at the left sternal border. Treatment?
Treat existing heart failure & replace tricuspid valve
Diagnostic test for hypertrophic cardiomyopathy.
Echocardiogram (showing thickening left ventricular wall & outflow obstruction)
A fall in systolic BP of > 10 mmHg w/ inspiration.
Pulsus paradoxus (seen in cardiac tamponade)
Classic ECG findings in pericarditis.
Low-voltage, diffuse ST segment elevation
Definition of hypertension.
BP > 140/90 on three separate occasions two weeks apart.
Eight surgically correctable causes of hypertension.
Renal artery stenosis
Coarctation of the aorta
Pheochromocytoma
Conn's syndrome
Cushing's syndrome
Unilateral renal parenchymal disease
Hyperthyroidism
Hyperparathyroidism
Evaluation of a pulsatile abdominal mass & bruit.
Abdominal ultrasound & CT
Indications for surgical repair of abdominal aortic aneurysm.
> 5.5 cm, rapidly enlarging, symptomatic, or ruptured
Treatment for acute coronary syndrome.
Morphine
O2
Sublingual nitroglycerin
ASA
IV beta-blockers
Heparin
What is the metabolic syndrome?
abdominal obesity
high triglycerides
low HDL
HTN
insulin resistance
prothrombic or proinflammatory states
A 50-year-old man w/ angina can exercise to 85% of maximum predicted heart rate.

Appropriate diagnostic test?
Exercise stress treadmill w/ECG
A 65-year-old woman with left bundle branch block & severe osteoarthritis has unstable angina.

Appropriate diagnostic test?
Pharmacologic stress test (e.g., dobutamine echo)
Target LDL in a patient with Diabetes.
< 70
Signs of active ischemia during stress testing.
Angina, ST-segment changes on ECG, or decreased BP
ECG findings suggesting MI.
ST-segment elevation (depression means ischemia), flattened T waves, and Q waves
A young patient has angina at rest w/ ST-segment elevation. Cardiac enzymes are normal.
Prinzmetal's angina
Common symptoms associated with silent MIs.
CHF, shock, & altered mental status
The diagnostic test for pulmonary embolism.
V/Q scan
An agent that reverses the effect of heparin.
Protamine
The coagulation parameter affected by warfarin.
PT
A young patient w/ a family history of sudden death collapses & dies while exercising.
Hypertrophic cardiomyopathy
Endocarditis prophalaxis regimens.
Oral surgery - amoxicillin;
GI or GU procedures - ampicillin & dentamicin before & amoxicillin after
The 6 P's of ischemia due to peripheral vascular disease.
Pain
Pallor
Pulselessness
Paralysis
Parathesia
Poikilothermia
Virchow's triad.
1. Stasis
2. Hypercoagulability
3. Endothelial damage
The most common cause of HTN in young women.
OCPs
The most common cause of HTN in young men.
Excessive EtOH