-
where can you hear the murmur of PDA
left 3rd ICS
-
can pt with RBBB do exercise stress test
yes
-
pt with AS and symptoms, can you do stress test
no
-
stress test +on EKG
ST depression 1 mm
-
when do you stop stress test
- decrease BP
- chest pain +dyspnea
- Vtach
- ST depression of 2
-
exertion dyspnea is equivalent of chest pain in what groups
- women
- diabetics
- post cabg
- elderly
-
is PCI or CABG better in DM
CABG
-
stress test + but cath normal, dx and rx
microvascular disease, rx is BB, CCB and nitrates
-
Trop elevated after TPA, but no new EKG or chest pain, wtd
nothing, observe
-
best test to diagnose chest pain a day after PCI
myoglobin
-
patient with an illness and has +trop, what does this mean? good or poor prognostic factor
poor prognostic factor
-
can you use tpa in a patient undergoing cabg
no
-
when is cabg better than PCI
- 3 vessel disease and low EF
- 2 vessel disease and proximal LAD and low EF
- 2vessel disease and DM
- left main disease
-
how long you wait to do PCI after tpa
2 hrs
-
wtd about Ventricualr arrhythmia's post MI
nothing
-
pt on ICD, has Vtach or Vfib with discharges, wtd
amiodarone, if still persistent then can do radio frequency ablation
-
best test to measure pericardial thickening
MRI
-
pt on spironolactone and has unilateral vs bilateral breast enlargement
- unilateral- biopsy
- bilateral- stop spironolactone
-
4 prognostic (poor) for HF
-
first dose syncope is seen with what drug
acei
-
can you use cilostazol in HF
no
-
indication for ICD in HOCM
- syncope
- family death due to HOCM
- NSVT
- cardiac arrest due to vtach
- septal thickness
- hypotension during exercise
-
mild AS, do echo in
moderate as
severe as
- 3-5 years
- 1-2 years
- q6-12 mo
-
when do you do surgery in AR in asymptomatic with EF >50%
- End diastolic >55
- End systolic >75
-
wtd if AR EF <50% with symptoms
do sx
-
when do you do valvuloplasty for MS
if valve <1.3cm
-
when do you do surgery with MR
- IfÂ
- EF<60
- PHTN
- afib
- symptoms
-
MR murmur during stress test, disappears after
ischemic MR
-
most common etiology of ASD
secundum type defect
-
when to do surgery for ASD
L:R shunt >1.7:1
-
eisenmenger denotes what
PHTN
-
when do you do percutaneous closure of PDA
at all ages
-
best way to prevent dissection in marfans
BB and Losartan
-
how often you do echo in marfans
- yearly
- if size >4.5, q6mo
- if >5.5cm,surgery
-
diastolic HF is common in what patients
women >75 with HTN
-
cyanosis of mucus membranes
eisenmnegers syndrome
-
do you screen women for AAA
no
-
rx for acute mesenteric ischemia due to embolism
-
what anti arrhythmic decreases plt
quinidine
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