Killer Hearts
to TNK or not to TNK
AHA!
Secondary prevention
Secondary prevention
AHA!
Primary prevention
Primary prevention
bleeds &
blood thinners
blood thinners
100
The following predisposes you to infective endocarditis.
What is IV drug use and prosthetic valves?
100
80 year old with PMHx of IPH
What is not to TNK?
100
This is the LDL target for patients with ischemic stroke.
What is LDL< 70 for patients with AIS and atherosclerotic dx and <100 for AIS + no known CAD?
100
The following are AHA's Life's essential 8.
What is healthy diet, physical activity, healthy weight, healthy sleep, avoidance of tobacco products, and healthy levels of blood lipids, blood glucose, and BP?
100
This is the class I recommendation for BP management in patients with ICH.
What is "In pts w spontaneous ICH, BP control is recommended to prevent hemorrhage recurrence"?
200
Name the criteria used for diagnosis of IE
What is the modified Duke Criteria/ 2023 Duke ISCVID Criteria for IE?
200
60 yo presenting with aphasia and right face/arm weakness. PMHx: HTN, HLD, Stroke 91 days ago.
What is to TNK?
200
According to the AHA stroke secondary prevention guidelines, this is the recommended physical activity in patients with stroke or TIA.
What is 10 minutes, 4x/wk moderate intensity aerobic activity or vigorous intensity activity for a min of 20 minutes 2x/wk?
200
In patients with DM and high cardiovascular risk and A1c = or > 7%, treatment with this pharmacologic agent is effective in reducing stroke risk.
What is GLP-1 receptor agonist?
200
Name this imaging sequence, the finding and the disease typically associated with this finding.
What is MRI/SWI, cortical superficial siderosis and CAA?
300
This form of endocarditis is commonly associated with malignancy.
What is Non-bacterial Thrombotic Endocarditis?
300
55 year old R handed F presenting with new onset R face/arm/leg numbness. NIHSS 1. She works as a seamstress.
What is is this a disabling symtpom?/ what is to TNK?
300
CEA is recommended for re-vascularization for __________.
What is symptomatic carotid stenosis 50%-99% in patients with <6% perioperative morbidity and mortality risk?
300
Treatment with a statin is recommended in adults with LDL___ and 10-year ASCVD risk of ____?
What is LDL > 190 and 10-year ASCVD =/>20% or 10 year ASCVD risk >7.5-<20% plus 1 risk enhancer?
300
In patients with spontaneous ICH and AFIB, resumption of AC can be considered after this many weeks.
What is 7-8 weeks?
400
Treatment of stroke in patients with Infective endocarditis.
What is antimicrobial therapy +/- thrombectomy in patients with LVO?
400
78 yo M presenting with R MCA syndrome. CTA shows a L ICA dissection and Left M1 occlusion.
What is to TNK?
400
In patients with AIS or TIA and native left-sided endocarditis with_______, early surgery is recommended.
What is mobile vegetations >10mm in length?
400
True or false: In adults with asymptomatic carotid artery stenosis, carotid revascularization is recommended.
What is false?
400
In patients with an ICH and a mechanical heart valve, how long is it safe to hold AC?
What is 7-10 days?
500
List the lab workup for suspected Non-bacterial thrombotic endocarditis?
What is APLS antibodies?
500
66 yo F with infective endocarditis develops sudden onset L sided weakness.
What is to not TNK?
500
In patients with sickle cell dx and AIS/TIA, this is the target HbS.
What is HbS<30% of total hemoglobin?
500
In patients with asymptomatic cerebral infarcts/ small vessel disease, this treatment is recommended.
What is risk factor modification?
500
According to the ENRICH trial, this treatment for ICH was found to be beneficial for spontaneous lobar ICH.
What is minimally invasive ICH evacuation in lobar ICH that is 30-80cc in volume?