Cardiology Facts 37

  • Bradykinin causes cough. Losartan decreased bradykinin
  • Patients with aortic dissection usually present with HYPERtension 
  • Heart failure (weight gain, peripheral edema, worsening exertional dyspnea, orthopnea, high N-terminal pro-BNP)+no chest pain, Q waves or ST segment change - elevation in troponin is due to heart failure 
  • Alveolar pressure is greater than pulmonary artery pressure at lung apices
  • Apixaban is factor Xa inhibitor. Bivalirudin, hirudin, argatroban and dabigatran are direct thrombin inhibitors 
  • TEER reduces mortality and heart failure hospitalizations for heart failure patients with moderate-to-severe MR who have persistent symptoms despite optimal GDMT 
  • Amiodarone addition to digoxin followed by nausea, vomiting, confusion, and symptomatic VT - treatment discontinue digoxin and administer digoxin-specific antibodies 
  • Caesarean section less than 5 months ago, crackles, systolic murmur, S3 gallop - peripartum cardiomyopathy 
  • Restrictive cardiomyopathy shows reduced medial mitral annular e′ velocity by doppler tissue imaging 
  • Red discoloration of hands after cold exposure, disappears when rewarmed, family history of Raynaud phenomenon, no pain, no pallor or acrocyanosis - diagnosis normal physiologic cold response