Cardiology Facts 65

 

  • Unprotected significant LMCA disease - heart team discussion between interventional cardiologist and cardiac surgeon to select best treatment option is the recommended approach 
  • Substernal chest pressure provoked by eating relieved by sublingual nitroglycerin - Atypical angina
  • Viral myocarditis rapidly progress, hypotension, bradycardia, severe LV dysfunction - perform endomyocardial biopsy and consult cardiac surgery regarding mechanical circulatory support
  • Risk factor for intracranial haemorrhage in patients receiving fibrinolytic are HTN, body weight, age, concomitant anticoagulation, use of alteplase
  • Early defibrillation is associated with favourable neurologic outcomes in out-of-hospital arrests
  • Unfractionated heparin, low-molecular-weight heparin, fibrinolytic therapy may be effective in pulmonary embolism even at 2 weeks after onset of symptoms 
  • CPK greater than 10 times ULN, statin should be stopped 
  • NSAIDs can cause hypertension difficult-to-control  
  • Systemic vascular resistance decreases during normal pregnancy 
  • Very low EF, severe 3V CAD - PET scan to assess viability before proceeding with CABG or PCI