Cardiology Facts 13


  • VSD, RV systolic pressure= SBP-VSD gradient  (VSD gradient=4xsquare of velocity at VSD)
  • Inferior Q waves, pulmonary edema, TTE technically limited, mitral valve not well visualized, jet of MR dificult to quantitate - do TEE and surgical consultation
  • Innocent murmur is usually midsystole
  • In ETT, leads that manifest ST-segment elevation during exercise localize anatomic regions of ischemia
  • CAD is the most common condition associated with sudden cardiac death in the United States
  • High-grade AV block after overdose of diltiazem and metoprolol - IV glucagon, TPM
  • Slow ventricular rate and pauses more than 3 seconds that correlate with symptoms, normal LV function and no evidence of CAD - Permanent pacemaker implant 
  • Pacemaker syndrome - symptoms usually include fatigue, dizziness, and hypotension
  • Dofetilide increases the risk for torsades de pointes because of reverse-use dependence that is exacerbated by bradycardia