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ABIM Cardiology Questions and Answers|100% Verified
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ABIM Cardiology Questions and Answers|100% Verified
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ABIM Cardiology Questions and Answers|100% Verified
Holosystolic murmurs - -Chronic MR
TR
VSD -HCM treatment - -Avoid high intensity activities
BB/nondihydropyridine CCB for HF symptoms
ICD for LV wall thickness >30mm (3 cm) or FH of SCD
Septal ablation or myectomy for valve gradient > 50mmHg and HF symptoms refractory to medication -Treatment for congenital prolonged QT syndrome - -avoid strenuous activities, electrolyte abnormalities
Avoid prolonging meds
Treat asymptomatic patient with BB to reduce chance of SCD -Rheumatic fever - -Can have recurrence if exposed to GAS again and progression of valvular disease, thus patients should received Penicillin G IMevery 3-4 weeks, duration depends on severity, but 5-10 years typically -MS - -low pitched diastolic rumble
Can have opening snap, occurs earlier in more severe disease -Chemo that causes significant HTN - -Bevacizumab -Who should not take cilostazol? - -Patients with CHF -High risk procedures needing antibiotic ppx - -Cardiac surgery
Respiratory tract surgery with biopsy
Dental procedures
Patient with GI/GU or MSK infection -DAPT for DES placed for angina - -6 month minimum for DAPT -When to do MV repair for MR - -Repair preferred over replacement
1. Myxomatous degenerate of the mitral valve
2. Symptomatic MR
3. Asymptomatic patients with LVEF 30-60% or LVED diameter >40mm
4. Asymptomatic patients with severe MR and new onset afib or PHTN.
5. Patients undergoing other cardiac surgery
Otherwise, serial exams every 6-12 months
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