Term
| Aortic Disection is associated with which inherited abnormalities? |
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Definition
| Marfans (AD); Erlers-Danlos (AD/AR/XR); and Turners (x/o, xx/xxx) {M-E-T} |
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Term
| Describe the average blood supply to the AV node: |
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Definition
| 90% Right Coronary and 10% Left Circumflex |
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Term
| List the lesions of Tetralogy of Fallot: |
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Definition
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Term
| List 5 causes of Right to Left Shunts: |
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Definition
| Tet of Fallot...Tricuspid Atresia... Truncus Anteriosus...Transposition of Great Vessels...Total Anomalous Pulm. Venous Return. |
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Term
| When looking at treatment scenarios for elevated "cholesterol" one normally looks at three divisions... |
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Definition
| LDL...HDL...Triglycerides |
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Term
| Only LDL is elevated...what to Rx? |
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Definition
| NIACIN; Bile Acid sequestrants; or Statins. All the 1st line drugs. |
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Term
| LDL and Triglycerides are elevated...what to Rx? |
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Definition
| NIACIN (the only 1st line)...Gemfibrozil is the 2nd line as it does NOT lower LDL |
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Term
| Triglycerides are up and HDL is down...what to Rx? |
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Definition
| NIACIN; Gemfibrozil may increase LDL but it can be used. |
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Term
| Describe the Ebstein Anomaly: |
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Definition
| Congenital, Tricuspid valve has APICAL displacement of SEPTAL and POSTERIOR Tricuspid Valve leaflet. ATRIALIZATION of the R-Ventricle. Variable Malformation and displacemnt of Anterior Leaflet. |
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Term
| Describe the Symtoms on presentation for Ebstein Anomaly: |
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Definition
| CYANOSIS (R-L Atrial shunt)...Fatigue and Dyspnea with symptoms of Heart Failure. Palpitations and sudden cardiac death is possible. R-heart failure symptoms...paradoxical embolism, stroke, T.I.A. is possible. |
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Term
| Describe the Physcial Findings for Ebstein Anomaly... |
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Definition
| Cyanosis and Clubbing. The cyanosis is intermittent and transient. Episodic cyanosis with arrhythmias. Precordial Asymmetry...usually LEFT PARASTERNAL prominence. Possible RBBB or 1sst degree block. S1 is widely split...loud tricuspid component with delayed closure of elongated aterior tricuspid leaflet. |
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Term
| What type of murmur might you hear with Ebstein Anomaly... |
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Definition
| S1 widely split, S3 and S4 usually present, Holosystolic Murmur of Tricuspid Reguritation. |
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Term
| What percentage of people with Ebstein Anomaly live to be older than 50 yo? |
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Definition
| 5% survive beyond 50 yrs old...(0.5% of Congenital Heart Disease is Ebstein Anomaly). |
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Term
| NAME THE SHOCK?...High Cardiac Output; LOW vascular resistance; LOW wedge pressure? |
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Definition
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Term
| NAME THE SHOCK?...LOW cardiac output; HIGH vascular resistance; LOW wedge pressure? |
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Definition
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Term
| NAME THE SHOCK?...LOW cardiac output; HIGH vascular resistance; HIGH wedge pressure: |
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Definition
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Term
| NAME THE SHOCK?...LOW cardiac output; HIGH vascular resistance; nml or low wedge pressure: |
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Definition
| OBSTRUCTIVE Shock (PE or Tension Penumo) |
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Term
| SCENERIO:..-PMH; Sudden CP; Looks ill; Strong family hx of sudden death; new onset A-fib... |
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Definition
| Pulmonary Embolus; Protein C-deficiency (Male or Female) |
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Term
| SCENERIO:...Recent INFERIOR wall MI 24 hours prior...Redevelopes Chest Pain and taken to Cath Lab with decreased cardiac output; PCWP = 10; RA = 15; PA = 20/11; BP = 75/50...What Happened? |
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Definition
| Right Ventricular Infarct...with secondary failure...GIVE NS bolus...RV has decompensated and is unable to fill the left side. |
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Term
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Definition
| Systolic BP drops by 15mm; ST segment goes UP 2mm; V-tach; Chest pain, SOB or Light Headed; Remember ST depression (DOWN) of 1mm for 0.08 sec duration = (+) Stress Test |
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Term
| What do you think when you have ANKLE swelling but NO JVD? |
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Definition
| Pelvic Thrombophlebitis; Venous Varicosities; Cyclic edema; Hypoalbuminemia. (NOT Righ Heart Failure if NO JVD then NO failure) |
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