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Cardiology

105bittersweet cardiology board recertification Inglés 9 fichas

Cardiology

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  1. 1AAA ScreeningAAA Screening
  2. 2Aspirin for prevention of CVDAspirin for prevention of CVD
  3. 3Acute coronary Syndrome: Etiologies1. most commonly occlusive thrombus on top of disrupted plaque (50% in only 50% narrowed)
    2. spasm at plaque
    3. spasm in normal artery
    4. inflammation (Kawasaki)
    5. cocaine-induced (treat with NTG and CCB)
  4. 4Troponin1. best biomarker for ACS
    2. 3-6 hours after infarction
    3. stays elevated for 7-14 days
    4. not elevated in unstable angina
  5. 5Myoglobin1. earliest biomarker
    - 2 hours
    -peaks at 8 hours
    2. sensitive, not specific
    - skeletal muscle injury
  6. 6CK-MB1. remains elevated 36-48 hours
    2. early peak (12-18 hrs) is indicative of re-perfusion
    3.because of early rise and fall, is better than troponin for reinfarction dx.
  7. 7Acute Coronary Syndrome: treatment1. Fibrinolysis within 12 hours of onset
    2. Glycoprotein IIb/IIIa inhibition
    3. Percutaneous Coronary intervention (PCI) with stent
    4. CABG (emergency) - when PCI not possible
  8. 8UA/NSTEMI treatment: When to do invasive intervention1. hemodynamic instability
    2. sustained V. tach
    3. PCI within 6 months
    4. prior CABG
    5. high risk score
    6 LVEF < 40%
  9. 9ACS: STEMI ECG findingssee Evernote

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cardiology flashcards for the boards
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