Chest pain Relieved with Rest
Stable Angina
STEMI show what kind of ST segment
elevated
Ventricular Dilation
Dilated Cardiomyopathy
AV Block 2nd degree type 1 has what kind of PR Interval?
Progressive with Dropped QRS
Ejection fraction in Systolic Heart Failure
<40%
ECG will show ST ______ with exertion
depression
The Etiology to Acute M.I
M.plaque rupture or coronary artery vasospasm (cocaine induced or prinzemtal angina)
Diagnostic testings
Echocardiogram & CRX
What is Atropine used for?
Decrease HR and Block PNS
S3 gallops is heart in
systolic HF
Gold standard for definitive diagnosis
Coronary Angiography
Cardio marker elevations
Troponin I & T (appears 4-8hrs & peaks 12-24hrs)
CK/CK-MB (appears 4-6hrs & peaks 12-24hrs)
Left Ventricular dilation, decreased EF, LV Hypokinesis
Define Wolff-Parkinson-White (WPW) & its presentation on EKG
Accessory pathway.
Delta wave (slurred QRS)
symptoms of Left HF
-dyspnea
-paroxysmal nocturnal dyspnea
-orthopnea
-chronic cough
Indication for Coronary Artery Bypass Graft (CABG)
Ejection fraction <40%
symptomatic 3 vessel disease
Start on Fibrinolytics ( tPA)
Murmur________with increased venous return (squatting)
but ________ with DECREASED venous return ( valsalva & standing)
decreases (squatting, laying down)
increases (valsalva & standing)
First line Treatment for Bradycardia conditions
symptoms of Right HF
-distention of JVP
-Hepatic congestion
Pharmacological Treatment for CHRONIC Angina
Beta-Blockers or CCB for pt unable to take BB
Alternative drug for patients with Aspirin Allergy
Clopidogrel (Plavix)
Increased JVP with INSPIRATION seen in Restrictive Cardiomyopathy
Main causes of A-fib
Ischemic, Rheumatic heart dz, and aging
what drug should can cause renal failure and should be avoided in chronic HF?
NSAIDS