Cardiology Facts 49

 

  • Amiodarone is first-line agent in patients with pulseless VT/VF 
  • Fibrinolysis reduces incidence of pericarditis in MI
  • Malar rash, arthralgias, HTN - drug induced lupus like syndrome, cause hydralazine
  • Amiodarone is effective for converting AFib to sinus rhythm and maintaining sinus rhythm
  • Acebutolol is cardioselective beta blocker with intrinsic sympathomimetic activity
  • In the ISCHEMIA trial, patients with chronic coronary artery disease who underwent revascularization had improvement in anginal symptoms compared with those who received pharmacologic therapy alone 
  • Acute decompensated heart failure, furosemide IV infusion, rising Cr - do right heart catheterization
  • HTN, bradycardia - next ECG
  • Bilateral carpal tunnel syndrome, low limb lead QRS voltage, concentric thickening of LV, Tc-pyrophosphate scan increased myocardial uptake - diagnosis cardiac amyloidosis, tafamadis is transthyretin stabilizer with reductions in all-cause mortality, fewer hospitalizations, and less functional decline in patients with transthyretin amyloid cardiomyopathy 
  • Marfan syndrome, thoracic aorta diameter <5 cm, stage 1 HTN, bradycardia - next losartan 25 mg daily