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35 Cards in this Set

  • Front
  • Back
classic EKG finding in atrial flutter
"sawtooth" P waves
definition of unstable angina
angina is new, worsening, or occurs at rest
anti-HTN for diabetic pt with proteinuria
ACEI
Beck's triad for cardiac tamponade
hypotension, distant heart sounds, and JVD
drugs that slow AV node transmission
B-blocker
Calcium channel blocker
Digoxin
hyperchol. tx that leads to flushing and pruritis
niacin
tx for A-fib
anticoag., rate control, cardioversion
tx for V-fib
immediate cardioversion
autoimmune complication occurring 2-4 wks post-MI
Dressler's syndrome: fever, pericarditis, hi ESR
IV drug use with JVD and holosystolic murmur at L sternal border. tx?
tx existing heart failure and replace the tricuspid valve
dx test for hypertrophic cardiomyopathy
EKG shows thickened L ventricular wall and outflow obstruction
fall in syst. BP of > 10 mmHg with inspiration
pulsus paradoxus (seen in cardiac tamponade)
classic EKG findings in pericarditis
low-voltage, diffuse ST-segment elevation
define HTN
BP > 140/90 on 3 separate occasions 2 wks apart
8 surgically correctable causes of HTN
1. renal artery stenosis
2. coarctation of aorta
3. pheochromocytoma
4. Conn's syndrome
5. Cushing's syndrome
6. unilateral renal parenchymal disease
7. hyperthyroidism
8. hyperparathyroidism
evaluation of pulsatile abdominal mass and bruit?
abdominal u/s and CT
indications for surg repair of abdominal aortic aneurysm (AAA)
> 5.5 cm
rapidly enlarging
symptomatic
ruptured
tx for acute coronary syndrome
morphine
oxygen
sublingual nitroglycerin
ASA
IV B-blockers
heparin
what is the metabolic syndrome?
abdominal obesity
hi triglycerides
low HDL
HTN
insulin resistance
prothrombotic or proinflamm. states
50yo male with angina can exercise to 85% of max predicted HR - diagnostic test?
exercise stress treadmill with ECG
65yo woman with LBBB and severe osteoarthritis has unstable angina - diagnostic test?
pharmacologic stress test (eg. dobutamine echo)
target LDL in pt with DM?
<70
signs of active ischemia during stress test?
angina, ST-segment changes on EKG or decreased BP
EKG findings suggesting MI?
ST-segment elevation (depression means ischemia), flattened T wave, and Q wave
young pt has angina at rest with ST-segment elevation. cardiac enzymes are normal. dx?
Prinzmetal's angina
common sx assoc. with silent MI's
CHF, shock, altered MS
dx test for PE
V/Q scan
agent to reverse effects of heparin
protamine
coag parameter affected by warfarin
PT
young pt with FH of sudden death collapses and dies during exercise - dx?
hypertrophic cardiomyopathy
endocarditis prophylaxis regimens
1. oral surgery: amoxicillin
2. GI/GU procedures: ampicillin and gent before, amoxicillin after
6 P's of ischemia due to peripheral vascular disease
Pain
Pallor
Pulselessness
Paralysis
Paresthesia
Poikilothermia
Virchow's triad
stasis, hypercoagulability, endothelial damage
most common cause of HTN in young women
OCP's
most common cause of HTN in young men
excessive ETOH