Cardiomyopathy
This is the cardiomyopathy where the heart becomes “stretched out and weak,” leading to decreased EF.
Dilated cardiomyopathy
The EKG pattern shows beat to beat variation in QRS amplitude
Electrical Alternans
The classic description of atrial fibrillation
What is Irregularly Irregular?
This is the normal PR interval
What is <0.20 seconds (200msecs)
CAD begins with injury to this structure.
Endothelium
Exam may show Kussmaul sign, hepatomegaly, peripheral edema, or ascites.
Restrictive cardiomyopathy
Tender, violaceous nodules on the fingers and toes associated with infective endocarditis
Osler Nodes
This medication can be given when a patient presents with a narrow complex, regular tachycardia to terminate the rhythm
What is adenosine?
This is the classic QRS change associated with an accessory pathway issue
What is a delta wave?
Chest pain at rest without troponin elevation.
Unstable angina
Echo shows apical ballooning with hypercontractile base.
Takotsubo cardiomyopathy
endomyocardial biopsy
This medication is second line for patients with inappropriate sinus tachycardia who fail beta blocker therapy
This axis will be present if the summative electrical energy is negative in Lead I and negative in Lead aVF
What is extreme right axis?
This test directly visualizes coronary anatomy.
Coronary angiography
Pressure gradient across the LV outflow tract increases with Valsalva in this cardiomyopathy
Hypertrophic obstructive cardiomyopathy
This high pitched heart sound may be heard in patients with constrictive pericarditis
Pericardial knock
One of these two medicine (only one needs to be named here) should be avoided in patients with a known history of WPW
Verapamil or Digoxin
A pulmonary embolism will display this highly specific change on EKG (hint, it is NOT sinus tach)
What is an S1Q3T3 pattern
This population often presents with atypical symptoms of CAD.
Women, diabetics, elderly
This cardiomyopathy results from long-standing reduced blood flow to the myocardium, most commonly from multivessel coronary artery disease.
Ischemic cardiomyopathy
Empiric antibiotic regimen for native valve infective endocarditis
vancomycin + ceftriaxone
Name a medicine from each of these classes (all 4 needed for credit):
Ic, II, III, IV
II - BB
III - amiodarone
IV - CCB
This EKG change will cause a paradoxically split S2 on cardiac exam
Left bundle branch block
STEMI is caused by this.
Complete thrombotic coronary occlusion