Arrhythmias
Treatment for asymptomatic sinus bradycardia
Observation
Most common feature of LVOT?
Cardiac murmur
Dynamic maneuvers help differentiate from fixed valvular obstruction
4 Criteria to dx acute pericarditis
Typical chest pain, pericardial friction rub, new EKG changes, and new pericardial effusion
Need 2 to Dx
What is a normal ABI
1.0-1.4
If <0.9 = + PAD
If >1.4 = noncompressible calcified arteries
Who gets screen for AAA?
Men age 65-75 who have smoked 100+ cigs in their lifetime
How Many World Series have the Chicago Cubs won?
3
Name the Tachycardia:
Short PR Interval and retrograde P waves very close to QRS complex
AVNRT
Terminated with vagal maneuvers or adenosine
Next Step after Dx of HCM via Echo?
24-48 hour EKG monitoring
Define Pulsus Paradoxus
Fall in Systolic pressure >10mmHg during inspiration
*Note: Not specific for tamponade
Cilostazol has a black box warning for what kind of patients
1st Line Treatment for Acute Aortic Dissection without cardiogenic shock
Beta-Blockers
Want to reduce BP and Heart Rate
Start vasodilator drip if systolic not below 120mmgHg
France's longest land border is with what country?
Brazil
Definitive treatment for A Flutter
1st Line Tx for HCM with LVOT symptoms
Non-vasodilating Beta-blockers
1st Line Therapy for acute idiopathic pericarditis
Aspirin 750-1000mg or ibuprofen 600mg q8hrs for 1-2 weeks
Can add colchicine 0.5mg daily/bid for 3 months
'Roids only for recurrent, incessant, or chronic
Name most common sites of arterial leg ulcers
Distal toes, plantar foot, and anterior portion of lower leg
What are the AAA Repair criteria? (3)
Diameter > 5.5cm
Rapid expansion >0.5cm/6months OR
Symptoms
Known for wearing sweater vests, this man is known as the King of Bollywood
Shah Rukh Khan
What is a prolonged QTc Interval in a woman?
>460ms
Men is >440ms
Name 2 Major Risk Factors for Sudden Cardiac Death in patients with HCM
Sudden Death in 1st Degree Relative
LV wall thickness > 30mm
1+ episode of syncope from arrhythmia
LV apical aneurysm
LVEF < 50%
Define Postpericardotomy Syndrome
Pericardial inflammation after cardiac surgery. Can occur several weeks later and likely autoimmune in nature
Name 4 of the 6 P's for acute limb ischemia
Paresthesia, pain, pallor, pulseless-ness, poikilothermic, and paralysis
Once diameter meets threshold for AAA repair, what is the next step?
CTA/MRI to determine exact location
What is a gilt?
Pattern of ST-segment coving in V1-V3 +/- Right BBB
Brugada Pattern
Brugada Syndrome is post cardiac arrest
3 Surveillance Tests for HCM
EKG every 1-2 years, 24-48 ambulatory EKG monitoring every 1-2 years, and TTE every 1-2 years
EKG Finding for Acute Pericarditis
What drip should be started as soon as acute limb ischemia is suspected?
Difference between Type A and Type B Aortic Dissection
A originates in ascending aorta/aortic arch
B originate distal to L subclavian artery
This movie won the 1996 Best Picture Award and is widely regarded as the best movie every made
Braveheart