Term
Sick Sinus syndrome
*followed by Complete Herat block |
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Definition
| What is the most common indicator for a pacemaker? |
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Term
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Definition
| What kind of pacemaker is where the signal of QRS is sensed, when absent for period of time pacemaker fires and maintains a minimal rate of approx 72bpm, rate can be externally reprogrammed after insertion? |
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Term
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Definition
| What is the most commonly used pacemaker settings? |
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Term
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Definition
| What is the most common cardiac arrhythmia at the time of death? |
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Term
| Implantable cardiac defibrillator |
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Definition
| Pts with a hx of recurrent VT/VF or with dilated ventricular failure at high risk for VT would be candidates for what treatment? |
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Term
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Definition
| What drug do you give to pts right away when they get to the ER to reduce the risk of fatal cardiac arrhythmias? |
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Term
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Definition
| What side is the ICD placed on? |
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Term
| Relative refractory period |
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Definition
| The current for cardioversion must be delivered during which period? |
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Term
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Definition
| If a cardioversion is delivered late it may induce what arrhythmia? |
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Term
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Definition
| Cardiac Resynchronizing Therapy resynchronizes what to get closer together? |
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Term
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Definition
| The Rt ventricular pacing wire for CRT is passed thru what structure first? |
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Term
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Definition
| Where does the LV pacing wire placed for CRT? |
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Term
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Definition
| An indication for CRT would be ventricular dyssynchrony demonstrated by a QRS >what? |
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Term
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Definition
| An indication for CRT would be an LV EF < what? |
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Term
Primary prophylaxis
*do NOT use secondary prophylaxis |
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Definition
| What type of abx prophylaxis is used for nonvalvular cardiac devices? |
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Term
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Definition
| What type of prophylaxis is recommended for patients with nonvalvular cardiac devices if they undergo incision and drainage of infection at other sites (eg, abscess) or replacement of an infected device? |
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Term
| Permanent anticoagulation |
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Definition
| What type of anticoagulation is needed for a pt with a mechanical heart valve? |
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Term
Short-term Anticoagulation
*1 year |
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Definition
| What type of anticoagulation is needed for a pt with biological heart valve? |
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Term
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Definition
Which type of heart valve lasts longer?
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Term
Biological heart valve
*don't need anticoagulation forever |
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Definition
| What type of heart valve should a woman who wants to get pregnant get? |
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Term
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Definition
| What type of mechanical valve is most common nowdays? |
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Term
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Definition
| What is a tissue overgrowth of a transplanted valve called? |
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Term
1. Valve can pull away from wall b/c of pressure
2. Can damage the AV node |
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Definition
| What are the two main dangers of the aortic valve replacement? |
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Term
1. angina
2. Symptoms of HF
3. Syncope
4. worsening of LV fxn w/o symptoms |
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Definition
| What 4 things are indicators for surgury in a pt with aortic stenosis? |
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Term
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Definition
| In aortic insufficiency, an EF under what is an indication for sx? |
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Term
| onset of pulmonary HTN (regardless of symptoms) |
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Definition
| What is the indication for sx for mitral stenosis? |
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Term
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Definition
| Chronic Asymptomatic with ventricular Ejection fraction trending below what is an indication for surgery in mitral regurgitation? |
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Term
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Definition
| What is the first thing you should do for a pt after they have valve replacement sx? |
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Term
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Definition
| Prophylactic antibiotics are needed for pts with valve replacements for any procedure with risk of what? |
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Term
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Definition
| What should be the INR level for a pt with aortic valve replacement on anticoagulants? |
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Term
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Definition
| What should the INR be for a pt with a mitral valve prosthesis on anticoagulants? |
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Term
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Definition
| Patients with aortic mechanical prosthesis who are at higher risk of thromboembolic complications, INR should be maintained at what? |
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Term
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Definition
| When should warfarin be stopped before a procedure in a low risk pt? |
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Term
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Definition
| What should be used for bridging therapy in high risk pts undergoing valve replacement sx? |
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Term
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Definition
| For bridging therapy, LMWH should be started once the INR gets below what level? |
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Term
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Definition
| Which immunosuppressant drug makes transplants possible? |
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Term
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Definition
| A transplanted heart only responds to what to slow it down? |
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