Door to Balloon
The recommended D2B time in primary PCI and transfer centers
90 mins and 120 mins.
This EKG pattern is most consistent with which this diagnosis.
Apical HCM
What do you call it when a cardiologist tells a lie?
A-Fib
This medication was recently trialed within 30 days post MI and found to reduced the risk death from cardiovascular causes, resuscitated cardiac arrest, recurrent MI, stroke, or urgent hospitalization for angina leading to coronary revascularization at median 22.6 months. The trial is known as COLCOT trial
Colchincine
Ear crease that is indicative of ischemic heart disease.
Frank's sign
The AHA recommended door to EKG time with patients presenting to the ED.
Less than 10 minutes
This patient had crushing substernal chest pain that resolved 20 mins before arriving to the ED. This syndrome is known as.
Wellens Syndrome
When a cardiologist finds an attractive individual he/she may say they have this syndrome?
QT (cutie) syndrome
The COMPLETE trial showed there to be a lower rate of death and repeat MI with this type of treatment during PCI for MI.
Revascularization of culprit and non-culprit lesions that are thought to be potential causes of residual ischemia. Residual ischemia determined by >70% stenosis or 50-69% with FFR positive lesion.
Levine's sign
When asked to describe chest pain patient clenches fist over chest.
This patient came in with crushing substernal chest pain and STE's in the anterolateral leads. He is otherwise stable without evidence of heart failure. Why doesn't he need to be rushed to the cath lab? Please review EKG.
Development of inverted T waves in the setting of STEMI is indicative of completed infarction (at least 12 hours out), or sometimes spontaneous reperfusion. Emergent cath is not required.
This arrhythmia is predominantly caused by 2 different etiologies. What are the etiologies?
Digoxin toxicity and Catecholaminergic polymorphic ventricular tachycardia (CPVT).
What do you call it when a cardiologist is detained by the authorities?
Cardiac Arrest
This trial evaluated the use of Evolocumab with statin under IVUS monitoring and found reduction in plaque volume with this combination.
GLAGOV
Percussive dullness, egophony and bronchial breath sounds at L scapular tip known as Ewart's sign is significant for what cardiovascular diagnosis?
Pericardial effusion, usually quite large.
In patient's with MI and normal coronary arteries on angiography this test can be considered during angiography to look for both epicardial vasospasms and microvascular spasms (microvascular angina).
Intracoronary Ach.
This patient had a dual chamber ICD placed earlier today and developed non-cardiac chest pain around the ICD insertion site. EKG and CXR are performed. What happened?
Ventricular lead courses through a PFO and is placed in the LV wall.
How does a cardiologist respond to a wink?
He/she Wenckebach's
This recent trial showed that patients with chronic stable angina and positive stress test for moderate to severe ischemia did not have reduced CV death, MI, resuscitated cardiac arrest, or hospitalization for unstable angina or heart failure at 3.3 years of follow up with invasive vs medical management. Bonus point, what percentage of patients had no angina at baseline?
The Ischemia Trial.
34% had no angina, 44% had angina several times per month, and 22% had daily or weekly angina.
Corrigan's sign
Carotid pulsations with abrupt ascending and descending phases
A new pilot trial was recently completely to evaluate a new procedure with the use of CP Impella for patients with anterior STEMIs without cardiogenic shock. This trial identifies a new time interval that may be important in this patient group. What is this time interval known as? Bonus point, what is the trial name?
Door-to-Unload time. DTU-STEMI trial.
This is a younger male patient with a family history of high cholesterol who presents with substernal chest pain for 30 minutes. What is the name of this sign?
De Winter T wave sign
Accounts for approximately 2% of LAD acute occlusions. Most often found in younger patients with history of hypercholestrolemia.
What is an electrophysiologist's favorite form of exercise?
Interval Training
This new medication is currently in phase 3 trials for treatment of HCM with predominant obstructive physiology in patients that have failed BB or CCB therapy. Bonus point, what TTE measurement is used to guide therapy and dosing of this medication.
Mavacamten. EF, goal reduction in EF of 15-20%.
Cardiac condition associated with systole palpable in posterior chest wall known as Broadbent Inverted sign.
Left atrial hypertrophy.