Cardiology Facts 64

 

  • Predictors of embolic events with aortic atheroma include plaque thickness >4 mm, mobile components, ulceration and lack of calcification 

  • STEMI+hypotension, PCI TIMI 3 flow, inotrope uptitrated but no change in BP - next intra-aortic balloon counterpulsation 

  • Cocaine causes platelet activation 

  • Cardiac cath, groin pain, dark blue, pulsatile mass, pseudoaneurysm & hematoma - treatment surgical evacuation of hematoma and suture repair of artery

  • Consultation for football and basketball participation, feels "like million bucks" at playground, bradycardia - use standardised history questionnaire

  • Roth spots are collections of lymphocytes in nerve layer of retina 

  • Statin therapy lower LFTs with fatty liver  

  • Lower extremity CT angio severe arterial disease with single-vessel runoff to foot - next endovascular stenting

  • Takayasu arteritis & giant cell arteritis occur predominantly in women 

  • Elective aortic replacement surgery is recommended for asymptomatic patients with Marfan syndrome with family history of sudden cardiac death, thoracic ascending aortic aneurysms between 4.0 and 5.0 cm