Cardiology Facts 62

 

  • HTN, urine ACR >300 - treatment ACEi 
  • Fondaparinux can not be used as sole anticoagulant to support PCI because of risk of catheter thrombosis 
  • Chronic Chagas disease shows RBBB 
  • Acute ischemic stroke, PFO, atrial septal aneurysm with right to left shunt, carotid stenosis <70% - treatment percutaneous device closure of PFO 
  • Diastolic BP normal, diastolic murmur heard best at right sternal border, normal S1 and increased intensity S2 (A2),early-peaking systolic ejection murmur at left sternal border - diagnosis aortic dilatation with moderate AR and mild AS 
  • Pulmonic stenosis is typical of carcinoid heart disease 
  • Asymptomatic abdominal aortic aneurysm 5.0-5.4 cm, repeat imaging in 6 months 
  • Bicuspid AR, holodiastolic flow reversal in descending aorta, asymptomatic good functional capacity - observation  
  • Short systolic murmur that ends prior to S2  suggests acute onset of MR 
  • Pulmonary stenosis has systolic murmur best heard in second left intercostal space, palpable thrill in second left intercostal space and in suprasternal notch