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20 Cards in this Set
- Front
- Back
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Long QT Syndrome (LQTS):
Ventricular tachyarrhthmias. Syncope, sudden cardiac death. EKG shows prolonged QT interval (>0.46s). Genetic predisposition -Romano-Ward Syndrome (Autosomal D) -Jervell and Lang-Neilsen Syndrome (Autosomal R) *Congenital deafness. Predisposes to .... |
torsades de pointes
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Tx in Long QT syndrome:
Beta-blockers ICD Anti-adrenergics Discourage participation in ... |
sports
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Healthy Cardiac Reflexes:
Marfan Syndrome -... Syphilis -... Rheumatic Heart Disease -... Maternal rubella -... |
Dilated Aortic Root
Aortic Regurgitation Mitral Stenosis Patent Ductus Arteriosis |
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Parvus et Tardus
-.... Fixed splitting of S2 -.... Opening snap -.... Pulsus paradoxus -.... |
Aortic Stenosis
ASD Mitral stenosis Cardiac tamponade |
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Continuous “machinery” murmur
-.... Beck’s Triad - ... Associated with cardiac ... |
Patent Ductus Arteriosus
-JVD. -Hypotension. -Muffled heart sounds. - tamponade. |
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Midsystolic Click
-.... Kussmaul’s Sign -.... Pericardial Knock -.... Bifid pulse -... |
Mitral valve prolapse
Constrictive pericarditis Constrictive pericarditis Hypertrophic cardiomyopathy (from midsystolic obstruction). |
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Who am I?
-I cause liver disease, diabetes, and brown skin. -I cause high serum ferritin levels. -I can cause CHF and cardiac arrhythmias. -I often present with arthralgias, loss of libido, small gonads, and diabetes |
Hemochromatosis
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-Symptomatic bradycardia due to any cause.
-Bradycardia from second or third degree heart block. -Sinus node dysfunction. -Carotid Sinus Hypersensitivity. What is the Question? |
What are common indications for cardiac pacing?
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-Complete heart block.
-AV block after valve surgery that does not resolve. -Mobitz II AV block. What is the question? |
What are indications to pace an asymptomatic patient?
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Who am I?
I am characterized by a sudden failure of P waves to conduct QRS waves. I cause an EKG to show constant PR intervals until a P wave occurs with no subsequent QRS. |
Mobitz II AV Block
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Who Am I?
-I typically occur 2-10 days after inferior or lateral MI. -I typically cause acute dyspnea and hypotension in a post-MI patient who was recovering well until I arrived. -I can cause a loud murmur and thrill. -I am diagnosed by an emergency echo. -I require emergency surgery or at least an intra-aortic balloon pump. I am… |
An acute papillary muscle rupture.
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Who Am I?
I cause a systolic, crescendo-descrescendo murmure heard best at the 2nd ICS along the right sternal border. I can radiate my murmur into both carotids. I usually do not cause any symptoms until I have become severe therefore when symptoms develop I have a poor prognosis. I usually present with DOE but can also cause syncope, angina, and CHF. I am… |
Aortic Stenosis
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Who Am I?
I cause a holosystolic murmur best heard at the cardiac apex. In the acute setting I can radiate my murmur across the entire precordium and I can cause an apical thrill and cause pulmonary edema. In the chronic setting I can radiate my murmur to the axilla and cause DOE; I am also associated with the development of A-fib. I am … |
Mitral Regurgitation.
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Who Am I?
I can cause a low-pitched, rumbling, diastolic murmur heard best the apex. I may cause an apical diastolic thrill. I can be a late sequela of rheumatic fever. I can cause hemoptysis. I am … |
Mitral Stenosis
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Who am I?
I have a short PR interval, wide QRS complex, and slurred upstroke of the QRS complex. I cause episodes of tachycardia, palpitations, chest pain, syncope. I am … |
WPW syndrome.
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Who am I?
I cause an irregular heart rhythm. I can cause an atrial rate of 300-600 and a ventricular rate as high as 170 or more. You should look for an atrial thrombus if you see me. I am … |
A-Fib
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Who am I?
I can cause an atrial rate of 250-350 bpm. My sawtooth pattern is best seen in the inferior leads. I generally cause a 2:1 or greater AV block; ventricular rate is usually about 150 bpm. I am … |
A-flutter
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Who am I?
I can increase afterload and cause hypertension, LVH, and CHF. You may see rib-notching on CXR when I cause dilation of the intercostal artery collaterals. I can cause a blood pressure gradient between the arms and legs. I can also cause diminished LE pulses. I am … |
Coarctation of the Aorta
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Who Am I?
I am a chronic, inflammatory, occlusive disease of the aorta and its branches. I primarily affect Asians and Indians. I can cause the SBP between arms to differ by > 10 mmHg. I can cause diminished distal pulses but I can also cause bounding distal pulses. I am … |
Takayasu Arteritis
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Who Am I?
I can alter characteristic EKG changes associated with acute MI. If I show up, you cannot reliably rule-out an acute MI by EKG alone. I am … |
a LBBB
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