Cardiology Facts 54


  • AFib with rapid ventricular response, dofetilide used in patients with EF less than 35% 
  • Normal plasma D-dimer level is most useful in excluding pulmonary embolism
  • High Cr, proteinuria, LVH - Fabry disease, genetic testing
  • D TGA - Senning or Mustard, arterial switch, and Rashkind
  • Constrictive pericarditis shows hepatic venous expiratory diastolic flow reversal
  • Sunitinib complication - Hypertension
  • Diabetes + multivessel coronary disease treated with CABG - LDL target <70 mg/dL
  • Recurrent malignant pericardial effusion with tamponade - best treatment, pericardial window
  • To reduce incidence of contrast-induced AKI after coronary angiography in patients with chronic renal insufficiency, give normal saline administration before and after angiography
  • ACC/AHA hyperlipidemia treatment guidelines include elimination of LDL-C and non HDL-C target, focus on risk reduction targeting therapy to four major groups demonstrated to benefit from statin, risk calculator that includes ethnicity and family history, absolute benefit in CVD risk reduction is proportional to the baseline risk of individual and to intensity of statin therapy, focused on intensity of statin treatment and does not recommend use of low-dose statin therapies, that decreasing statin dose is reasonable if LDL-C on therapy is <40 mg/dL