Consider what in young woman with Hx of migraines, acute chest pain, ST-segment elevation - ANS Prinzmetal Angina
Inferior wall ST Elevation ECG Leads? - ANS II, III, aVF
Anteroseptal wall ST Elevation ECG Leads? - ANS V1-V3
Lateral and Apical ST Elevation ECG Leads...
Consider what in young woman with Hx of migraines, acute chest pain, ST-segment elevation -
ANS Prinzmetal Angina
Inferior wall ST Elevation ECG Leads? - ANS II, III, aVF
Anteroseptal wall ST Elevation ECG Leads? - ANS V1-V3
Lateral and Apical ST Elevation ECG Leads? - ANS V4-V6
Posterior Wall ST Depression ECG Leads? - ANS Tall R waves in V1-V3
Time from first medical contact to PCI for STEMI - ANS Less than 90 min
Time from tranfer from non-PCI capable hospital to PCI-capable hospital for STEMI - ANS
Less than 120 min
Patients with this kind of infarct will have hypotension and JVD with clear lungs after
administration of Nitro or morphine for ACS - ANS Right Ventricle
Treatment for RV Infarct - ANS IV Fluids
Do NOT give what to patients with NSTEMI or asymptomatic patients with onset of pain > 24
hours ago - ANS Thrombolytic Therapy
Do not choose what as part of treatment for ACS - ANS Ranolazine
Recommendations for pacing in acute MI are asystole, symptomatic bradycardia, alternating
LBBB/RBBB and new or indeterminate-age what? - ANS Bifascicular block with
first-degree AV block
2-7 days after MI - abrupt pulmonary edema or hypotension with loud holosystolic murmur and
thrill could be what two things? - ANS VSD or Papillary mm Rupture
2-7 days after MI - sudden hypotension or cardiac death associated with PEA - ANS LV
Free Wall Rupture
, MI patients should be screened for what due to increased hospitalization and death? - ANS
Depression
Reproducible stable angina with symptoms for at least 2 months duration precipitated by
exertion and relieved by rest - ANS Chronic Stable Angina
If a patient has very low (<10%) or very high (> 90%) pre-test probability of CAD, this test has
very little value and should not be chosen - ANS Stress Test
4 Current treatment options for patients with Chronic Stable Angina after lifestyle modification -
ANS Cardioselective BB, CCB, Nitrates, Ranolazine
A BNP level > what is compatible with HF - ANS 400
A BNP level less than what effectively excludes HF as a cause of dyspnea? - ANS 100
BNP is reduced by what - ANS obesity
BNP is increased by what 3 things - ANS ESRD, Age, Female Sex
Given in addition to NYHA Class III-IV and EF < 40% in black and select nonblack people (low
output syndrome, hypertension) to decrease mortality - ANS Hydralazine plus nitrate
For NYHA class III-IV HF to reduce mortality - ANS Aldosterone antagonist
Medication good for patients with EF < 35% and HR > 70 bpm - ANS Ivabradine
Used for ischemic and nonischemic cardiomyopathy in pts with EF < 35% with NYHA Class II-III
OR with EF < 30% and NYHA Class I - ANS ICD
Do NOT begin beta blockers in patients with what kind of HF - ANS Decompensated HF
Two medications that worsen HF and should be discontinued once HF diagnosis is made - ANS
NSAIDs and Thiazolidinediones
Kind of CCB that can be harmful to HF patient - ANS Nondihydropyridine - Diltiazem or
Verapamil
Valsalva maneuver will increase the intensity of what murmur - ANS HCM
Triple ripple apex beat idiopathic for - ANS HCM
Amyloidosis is associated with what ECG finding - ANS Low voltage
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