Cardio - Fast Facts

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Last updated: December 27, 2023
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First submittedDecember 23, 2023
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acute HF treatment
lasix + nitroprusside
heart valve most likely to be affected by endocarditis
mitral
ICDs are considered in patients with EF
35
Standard HF treatment
diuretic + ACEi ± BB
Med regimen for HFrEF includes these 3 classes
ACE/ARB + diuretic + BB
hpertriglyceridemia is treated with this class of meds
fibrates
aspirin, P2Y12 inhibitors (clopidogrel) and glycoprotein IIA/IIB are all meds in this class of drugs
antiplatelets
Heparin, fondaparinux, and direct thrombin inhibitors (dabigatran) are all meds in this drug class
Anticoagulants
Medication that improves intermittent claudication in PAD
Cilastozol
ABI < this indicates PAD
0.9
Artery MC affected in PAD of the lower limbs
Superficial femoral
Triglycerides > this increase your risk for pancreatitis
1,000
Most common innocent murmur in kids, characterized by vibratory, musical quality
Still murmur
antihypertensive regimen in african americans includes these two med classes
CCB + thiazide
Class X HF per the NYHA includes slight limitation of activity with normal daily activities
2
Class X HF per the NYHA includes pain/SOB even at rest
4
Congenital heart disease commonly associated with turner syndrome
Coarctation of the aorta
Most common cause of aortic regurgitation
Endocarditis
Surgical valve replacement/repair is indicated in pts w/ acute aortic regurgitation, symptomatic AR, or EF < what?
55
Pulsus bisferiens, triple apical impulse, and S4 are associated with
HOCM
this type of MI is preload dependent; nitroglycerin is contraindicated
inferior
this med is contraindicated in RV (inferior) infarct
Nitroglycerin
this class of meds is contraindicated in WPW
AV node blockers (BB)
verapamil, amiodarone, digoxin, or beta-blockers are AV nodal blockers contraindicated in
WPW
med class contraindicated in cocaine induced MI and vasospastic angina
Betablockers
Medications that decrease preload such as nitrites, ACEi/ARBs, diuretics and digoxin should be avoided in
HOCM
This class of drugs used in the tx of chronic stable angina should be avoided in acute decompensated HF
BB
Midsystolic click is characteristic of
MVP
CABG is indicated if LAD stenosis exceeds
50%
In addition to ASCVD score 7.5%+, LDL above what indicates the need for high intensity statin
190
Treat hypertriglyceridemia when tri exceed this value
500
Example of high intensity statin regimen
Rosuvastatin 20mg, atorvastatin 40mg
MCC of tricuspid stenosis
RHD
Left sided HF is MCC by
CAD, hypertension
Right sided HF is MCC by
Left sided HF, lung disease
this class of meds, which includes epoprostenol, is used in the treatment of pulmonary hypertension
prostacyclin analogs
Patients will often present with a linear erythematous induration that is tender to palpation, or palpable cord on the leg, indicating this condition
superficial thrombophlebitis
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disorders characterized by an opening snap
mitral stenosis, tricuspid stenosis
only two medications that reduce mortality in stable angina
aspirin, BB
the only valve disease for which valve replacement is preferred to valve repair
aortic stenosis
MC congenital heart condition among adults
bicuspid aortic valve
MC congenital valve defect
VSD
pulmonary embolism is associated with this cardiac rhythm on EKG
RBBB
first-line antihypertensive agents in patients with acute aortic dissection
esmolol, labetalol
first line tx for hypertensive crisis
nicardipine, labetalol
surgical repair is indicated when abdominal aneurysm exceeds this size
5.5cm
endovenous laser ablation is indicated when venous reflux exceeds this many ms
1000
refers to post-MI pericarditis
dressler syndrome
Hypotension, distended neck veins, and muffled heart sounds are known as Beck’s triad, indicating
cardiac tamponade
MC pathogen responsible for acute pericarditis
coxsackie
reciprocal leads showing ST depression in inferior STEMI
V1-V3
lateral wall STEMI affects which artery?
left circumflex
amount of IV NS/LR Xmg/kg a patient should be given for shock
30mg/kg
first-line vasopressor or inotropic agent of choice for cardiogenic shock
norepinephrine
symptom caused by increased capillary hydrostatic pressure, hypoalbuminemia, increased capillary permeability, or lymphatic obstruction
edema
“R on T” phenomenon refers to the cause of this dangerous rhythm which is preceded by multiple PVCs
ventricular tachycardia
the difference between the two types of premature cardiac contractions (PAC vs PVC) is that this form has a compensatory pause following
PVC
most common and most important predisposing risk factor found in patients with aortic dissection
hypertension
MCC of aortic stenosis
calcification, CAD, atherosclerosis
sinus tachycardia w/ low QRS voltage on EKG is a sign of
cardiac tampanade
MCC of nontraumatic cardiac tamponade
malignancy
vagal maneuvers should first be attempted in this arrhythmia
PSVT
classic symptoms of this cardiac emergency include abdominal/flank/back pain, hypotension, and pulsatile abdominal mass
ruptured AAA
Exam findings highly suggestive of this condition include an S3 gallop, abdominojugular reflux, and jugular venous distension
acute heart failure
this hyperadrenergic state can cause acute heart failure, and may also present with the following symptoms: hyperthermia, hypertension, tachycardia (often out of proportion to temperature), anxiety, tremors, diaphoresis, hair thinning, diarrhea, exophthalmos, an anterior neck mass, dyspnea on exertion, elevated jugular venous pressure with jugular venous distension, and pulmonary edema
thyroid storm
in hypertensive emergency, blood pressure should be reduced by this much within the first hour
25%
MCC of mitral stenosis
RHD
ideal total cholesterol is less than
200
AAA above this size in diameter should be monitored regularly w/ US
3cm
Toxic megacolon is colonic dilation beyond
6cm
Most important predisposing risk factor for aortic dissection
Hypertension
MC valve disorder in the US
aortic stenosis
critical limb ischemia is defined as ABI <
0.4
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