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Aortic Stenosis Characteristics: SAD
-
MI Basic Management: BOOMAR
- Bed rest
- Oxygen
- Opiates
- Monitor
- Anticoagulate
- Reduce clot size
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Causes of Pericarditis: CARDIAC RIND
- Collagen vascular disease
- Aortic Aneursym
- Radiation
- Drugs (hydralazine)
- Infections
- Acute renal infections
- Cardiac infarction
- Rheumatic fever
- Injury
- Neoplasm
- Dressler's Syndrome
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Systolic Murmurs: SAPS
- Systolic
- Aortic
- Pulmonary
- Stenosis
- (mitral and tricuspid regurg = systolic)
-
MI SSx: PULSE
- Persistent chest pain
- Upset stomach
- Lightheadedness
- Shortness or breath
- Excessive sweating
-
Right vs. Left Murmur loudness: RILE
- RIGHT sided heart louder on INSPIRATION
- LEFT sided heart louder on EXPIRATION
-
ST Elevation: ELEVATION
- Electrolytes
- LBBB
- Early repolarization
- Ventricular hypertrophy
- Aneursym
- Treatment (percardioccentesis)
- Injury (AMI, contusion)
- Osbourne waves (hypothermia)
- Non-occlusive vasospasm
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Cardiac tamponade (Beck's Triad): 3 D's
- Distant heart sounds
- Distended jugular vein
- Decreased arterial perssure
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Causes of CHF exacerbation: FAILURE
- Forgot medications
- Arrhythmias/Anaemia
- Ischemia/Infarction/Infections
- Lifestyle (salt intake)
- Upregulation of CO (prego, hyperthy)
- Renal failure
- Embolism (pulmonary)
-
Systolic vs. Diastolic murmurs: PASS/PAID
- Pulmonic & Aortic Stenosis= Systolic
- Pulmonic & Aortic Insufficiency= Diastolic
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Epidemiology: Mitral Stenosis (MS) vs Mitral Regurgitation (MR)
- MS: female title-more common in female
- MR: male titel-more common in male
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JUP elevation causes HOLT
- Heart failure
- Obstruction of vena cava
- Lymphatic enlargement-supraclavicular
- Thoracic (intra) pressure increase
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Causes of ST depression:DEPRESSED ST
- Drooping valve (MVP)
- Enlargment of LV w/ strain
- Potassium loss (hypokalemia)
- Reciporcal ST-depression (I/W AMI)
- Embolism (pulmonary)
- Subendocardial ischemia
- Subendocardial infarction
- Encephalon hemorrhage (ICH)
- Dilated cardiomyopathy
- Shock
- Toxicity of digitalis, quinidine
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Innocent Murmurs features : 8 S's
- Soft
- Systolic
- Short
- Sounds (S1/S2) normal
- Symptomless
- Special test normal (xray, ekg)
- Standing/Sitting
- Sternal depression
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Location and discription of murmurs: MRS ASS
- MRS: Mitral regurgitation = systolic
- ASS: Aortic Stenosis = systolic
- (making MS and AR = diastolic)
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Cardioseletive BB: Betablocker Acting Exclusively At My cardium (BAEMA)
- Betaxolol
- Acebutelol
- Esmolol
- Atentolol
- Metoprolol
-
Coronary artery bypass graft indication: DUST
- Depressed Ventricular Function
- Unstable angina
- Stenosis of the left main stem
- Triple vessel disease
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Heart Murmur: hARD ASS MRS MSD
- hARD: Aortic Regurg = Diastolic
- ASS: Aortic Stenosis = Systolic
- MRS: Mitral Regurg = Systolic
- MSD: Mitral Stenosis = Diastolic
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SVT Treatment: ABCDE
- Adenosine
- Beta Blocker
- Calcium channel antagonist
- Digoxin
- Excitation (vagal stimulation)
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V.Tach Treatment: LAMB
- Lidocaine
- Amiodarone
- Mexiltene/Magnesium
- Beta Blocker
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Causes of pulseless electrical activity: PATCH MED
- PE
- Acidosis
- Tension pneumothorax
- Cardiac tamponade
- HypoK/HyperK/Hypoxia/Hypothermia/Hypovol
- MI
- Electrolytes derangements
- Drugs
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Rheumatic Fever-Jones Criteria
Major: CANCER
Minor: CAFE PAL
- Carditis
- Arthritis
- Nodules
- Chorea
- Erythema (marginatum)
- Rheumatic Anamnesis
- CRP increased
- Arthralgia
- Fever
- Elevated ESR
- Prolong PR interval
- Anamnesis of rheumatism
- Leukocytosis
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CI to exercise ramp: RAMP
- Recent MI
- Aortic Stenosis
- MI in the past 7 days
- Pulmonary HTN
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Causes of T wave inversion: INVERT
- Ishemia
- Normality (young, black)
- Ventricular Hypertrophy
- Ectopic foci (calcified plaques)
- RBBB/LBBB
- Treatments (digoxin)
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Causes of A.Fib: PIRATES
- Pulmonary (PE, COPD)
- Iatrogenic
- Rheumatic heart (MR)
- Arthersclerotic (MI, CAD)
- Thyroid (hyperthy)
- Endocarditis
- Sick sinus syndrome
-
Managment of A.Fib: ABCD
- Anticoagulate
- BB
- Cardiovert
- Digoxin
-
Anti-arrhythmias for AV blocks: Do Block AV
- Digoxin
- BB
- Adenosine
- Verapamil
-
Systolic murmurs: MR PV TRAPS
- Mitral
- Regurgitation
- Prolaspe
- Ventricle spetal defect
- Tricuspid
- Regurgitation
- Aortic &
- Pulmonary
- Stenosis
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