Cardiology Facts 41

 

  • ACS, severe nicotine withdrawal symptoms during hospitalization - first line nicotine patch 
  • Asymptomatic, multiple cardiovascular risk factors, systolic murmur at left upper sternal border without radiation, 1+ posterior tibial pulses, normal sinus rhythm with T-wave inversions in inferior leads - next ankle-brachial indices 
  • Unfractionated heparin or low-molecular-weight heparin may suppress aldosterone secretion 
  • Moderate MS, Afib - treatment warfarin
  • BP>180/120, headache, nausea, vomiting, CT no ischemia or haemorrhage, headache improves with IV nitroprusside - diagnosis cerebral edema, hypertensive encephalopathy
  • Dilatation of ascending aorta is suspected if AR murmur is loudest at right side of sternum 
  • Ticagrelor is ADP blocker
  • Mechanical AVR, TTE poor doppler windows - next TEE
  • Atrial flutter is more common than atrial fibrillation in young patients with congenital heart disease 
  • Mid-systolic click heard earlier in systole with standing, and later in systole with squatting (MVP), there is no clear role for aspirin except if stroke or TIA