Cardiology Facts 61


  • Systolic murmur <3/6 in intensity and diminishes with standing is physiological or normal flow murmur
  • Frequent ventricular ectopy in early postexercise phase predicts worse long term prognosis than ectopy that occurs only during exercise
  • Enterococcal endocarditis standard therapy ampicillin, 2 g IV every 4 hours for 4 to 6 weeks, plus gentamicin, 1 mg/kg IV every 8 hours for 4 to 6 weeks 
  • Torsemide has side effect of ototoxicity 
  • s/p AVR, asymptomatic, AVA below 1 cm2, velocity above 4 m/s, gradient above 40 mmHg - severe prosthetic AS, next do exercise testing 
  • In complete atrioventricular septal defect echo, atrioventricular valves appear abnormally aligned at same level 
  • Mitral E' lateral velocity<mitral E' septal velocity, septal bounce - treatment surgical pericardiectomy 
  • PCI to LCX does not decrease total mortality, CV mortality, MI, heart failure events  
  • Most concealed accessory pathways are located between LV and LA 
  • Inferior STEMI, history of subarachnoid haemorrhage, not transferable to PCI-capable facility in <120 min - unfractionated heparin, transfer to PCI-capable hospital