Chest Pain/Coronary Artery Disease
This medication is contraindicated in right ventricular infarction due to risk of profound hypotension.
Nitroglycerin
This peptide is released by stretched ventricles and helps differentiate cardiac from pulmonary causes of dyspnea
BNP (B-type Natriuretic Peptide)
This EKG finding is characterized by ST elevation in leads II, III, and aVF
inferior myocardial infarction
This continuous "machinery-like" murmur is heard in the left infraclavicular area in a newborn
PDA
This condition presents with unilateral leg swelling, pain, and a positive Homan’s sign
deep vein thrombosis (DVT)
Which population of patients will have an atypical presentation during Acute MI (Name 2)
Women and diabetics
(also elderly)
This medication reduces hospitalization and mortality in HFrEF but may cause hyperkalemia
spironolactone (or eplerenone)
The first-line treatment for bradycardia with hypotension and altered mental status
IV atropine
Which two conditions present with decreasing murmur sounds when PRELOAD increases?
This murmur is associated with widened pulse pressure and “water hammer” pulse
aortic regurgitation
Which type of ACS (Unstable Angina, NSTEMI, STEMI) has positive EKG changes BUT negative cardiac enzymes?
Unstable Angina (partial occlusion)
**Only difference between this NSTEMI is that NSTEMI has positive trops
Which medications have been shown to reduce mortality for patients with heart failure with REDUCED ejection fraction (name 3)
BB
ACE/ARB
Mineralcorticoid Receptor Blockers
Sacubitril-Valsartan (aka Entresto)
SGLT2 Inhibitors (dapagliflozin or empagliflozin)
This life-threatening arrhythmia presents with a wide complex, regular tachycardia at a rate of 150-250 bpm
ventricular tachycardia
Holosystolic Murmur
Radiates to the Axilla
Mitral Regurg
(pts have hx of rheumatic fever)
(think Rheu-Mitral)
preferred antiplatelet agent post-MI in addition to aspirin
clopidogrel (or another P2Y12 inhibitor)
In patients with STEMI, the time goal for performing PCI from first medical contact is within this number of minutes
90 minutes
obesity, DM, HTN, older age
The treatment of choice for pulseless electrical activity (PEA)
CPR and epinephrine (not defibrillation)
This valvular abnormality causes a high-pitched, blowing diastolic murmur at the left sternal border
aortic regurgitation
Pt has hx of IVDU and now developed a murmur that is HOLOSYSTOLIC. Which valvular murmur is being presented
(want to TRI some drugs?)
A patient post-MI, a new harsh systolic murmur, pulmonary edema, and hypotension suggest this mechanical complication
papillary muscle rupture leading to acute mitral regurgitation
This restrictive cardiomyopathy is associated with amyloidosis and causes preserved EF with impaired relaxation
infiltrative cardiomyopathy
Describe the 3 classic findings on EKG in patient with Wolff-Parkinson-White (WPW)
1. Delta Wave
2. Short PR interval
3. Wide QRS Complex
1. Audible OPENING SNAP is referring to what murmur?
2. Patients will tend to have history of what?
1. Mitral Stenosis
2. Rheumatic Fever (remember Rheu-Mitral)
In distributive shock, such as septic shock, systemic vascular resistance is ________ and cardiac output is ________
decreased SVR and increased cardiac output