Heavy hearts
Cardiolgy 101
Trial by combat
Electricity
100
Per the ACC/AHA guidelines, the surveillance screening interval of asymptomatic adult first degree relatives of patients with clinically diagnosed hypertrophic cardiomyopathy is …
Every 3-5 years
100
During sinus rhythm, the electrical impulses originate in the right atrium and move to the left atrium predominantly across this to maintain synchrony
Bachmann ‘s bundle
100
This trial noted a lower risk of death from any cause at 180-days in pateints with STEMI-realted Cardiogenic Shock with the use of microaxial flow pump compared to standard of care.
DanGer Shock Trial
100
This is the most common genotype for Brugada syndrome
What is loss of function mutation in the SCN5A gene
Encodes for the a-subunit of the NaV1.5 sodium channel.
200
Cardiac power output was shown to be a strong hemodynamic predictor of outcomes in patient with cardiogenic shock in the SHOCK trial. This is the equation for CPO
MAP x CO / 451
200
This Agatston score can be used to define severe Aortic Stenosis in patients with low-flow, low-gradient severe AS with normal LV function
(values for both women and men)
Agatston score >1300 for women and >200 for men.
200
Among patients with stable coronary artery disease who were undergoing TAVI, PCI was associated with a lower risk of a composite of death from any cause, myocardial infarction, or urgent revascularization at a median follow-up of 2 years than conservative treatment.
NOTION 3 Trial
200
VT from bundle branch re-entry:
- A) Is never present in ischemic cardiomyopathy
- B) Is present only in normal heart
- C) Can be present in any patient
- D) None of the above
C) Can be present in any patient.
400
In patients with HCM and persistent symptoms on beta blocker and calcium channel blocker, this agent can be considered prior to septal reduction therapy.
What is disopyramide
400
This is the improved LV size and function in response to drug and device based therapies for HFrEF
Positive (or Reverse) Remodeling
400
This trial demonstrated that in patients with severe aortic stenosis and small aortic annulus, a supravalvular self-expanding valve had similar clinical outcomes however also noted better hemodynamics with the supravalvular self expanding valve compared to balloon-expandable TAVR valves.
SMART Trial
400
During Catheter ablation of atrial fibrillation the use of intracardiac ECO:
- A) Allows to reduce the complications of transeptal puncture
- B) Allows rapid recognition of pericardial effusion
- C) Allows the identification of the esophagus and reduces the risk of atrio-esophageal fistula
- D) All of the above
- E) None of the above
All of the above
800
The 2020 ACC/AHA Guideline for Valvular heart disease recommends TEER (transcatheter edge to edge repair) in patients with chronic severe secondary MR related to LV systolic dysfunction below this pulmonary artery systolic pressure.
70 mm Hg
800
A 2021 analysis of 3,003 subjects found that each serving of ultra-processed foods, such as soda and chips, resulted in an increased risk of incident coronary heart disease of :
- A)3%
- B) 5%
- C) 7%
- D) 9%
D) 9%
800
This Trial Published in the New England Journal of Medicine showed that a Mediterranean diet supplemented with extra-virgin olive oil or nuts lowered the risk of major cardiovascular events.
PREDIMED Trial
800
This Class III antiarrhythmic agent increases the defibrillation threshold of AICD’s
Amiodarone