Cardiology Facts 28


  • HTN on nifedipine, during pregnancy BP >140/90 - next labetalol
  • Hyperthyroidism - Means Lerman scratch 
  • No trial evidence that ARBs eg losartan improved mortality in post-MI 
  • Chronic DVT, progressive dyspnea on exertion, high PA pressure, V/Q scan shows multiple mismatched perfusion defects - CTEPH, best treatment pulmonary endarterectomy 
  • Flushing, diarrhoea, elevated JVP, pulsatile liver, elevated 5-HIAA - carcinoid syndrome, echo hepatic vein flow reversal (TR) 
  • Orthostatic hypotension is symptom of amyloidosis of cardiovascular system 
  • Arterial thrombosis after plaque rupture is initiated by tissue factor 
  • Family history of bicuspid aortic valve, AVR and ascending aortic aneurysm repair. Aortic imaging with CT angio of chest or MRI/MR angio is recommended for first-degree relatives  
  • Ibrutinib complication - Atrial fibrillation 
  • Noonan syndrome, Williams syndrome, Congenital rubella syndrome, LEOPARD syndrome are associated with pulmonary stenosis