Cardiology Facts 66

 

  • Restrictive muscular VSD, fever - next blood cultures
  • Digoxin PO to IV, decrease dose 25% to maintain digoxin level 
  • DVT, apixaban 10 mg BID for 7 days, then 5 mg BID
  • Apical HCM shows deeply inverted precordial T waves
  • During pregnancy four-chamber cardiac enlargement and severe, global reduction of biventricular systolic function - peripartum cardiomyopathy, high risk of relapse of PPCM in subsequent pregnancies 
  • With Loeys-Dietz syndrome, aortic repair is recommended based on CTA or MRA ≤4.4 cm
  • Female, >60 years of age, smoker, other vascular disease, dull abdominal pain after meals, weight loss - mesenteric ischemia, abdominal CT angiography
  • AVR, fever, AR, new long first degree AV block - diagnosis prosthetic valve abscess, do TEE with surgical consultation
  • Lyme carditis shows atrioventricular nodal block
  • Mechanical AVR, sporadic medical care, dyspnea on exertion, systolic murmur - valve thrombosis, peak aortic velocity above 4 m/s