Cardiology Facts 47

 

  • AFib+TIA+RHD - treatment warfarin target INR 2.5 
  • Hypothyroidism can have pericardial effusion 
  • African, HTN not controlled on hydrochlorothiazide 25 mg OD - thiazide diuretics or CCB,  add amlodipine 10 mg daily
  • Right heart catheterization findings that prompt acute vasoreactivity testing include mean pulmonary artery pressure >25 mm Hg, normal PCWP 8-12, elevated pulmonary vascular resistance above 2 woods unit, normal PA oxygen below 75%
  • Use of DES over BMS preferred in diabetes mellitus, long coronary lesions, multifocal coronary lesions, small vessel disease 
  • Aneurysmal dilatation of subclavian and carotid arteries is complication of Behçet syndrome 
  • Suspected aortic dissection is absolute contraindication for fibrinolytics 
  • MI, DM, stage 1 HTN, Cr mild elevation - ACE i eg lisinopril   
  • Anomalous origin of left main coronary artery from right coronary cusp is most common of congenital coronary abnormalities that result in SCD in young athletes 
  • MVR with bileaflet tilting disk valve functioning normally has prominent closing click, soft and brief diastolic rumble