PANCE Treatments and Tests of Choice
Cardiology:
Dilated cardiomyopathy treatment: Correct Answer: ACE inhibitors, beta blockers, diuretics ,
dig, stop offending agent
HOCM treatment: Correct Answer: Beta Blockers
Defibrillators
Dilated Cardiomyopathy test of choice: Correct Answer: TTEcho (LVH dilation, reduced EF)
HOCM test of choice: Correct Answer: Doppler echo
Restrictive cardiomyopathy test of choice: Correct Answer: Echo
Restrictive cardiomyopathy treatment: Correct Answer: None specific
Symptomatic diuresis, vasodilators
First degree AV block treatment: Correct Answer: None
Second degree AV block/Mobitz 1/wenkebach treatment: Correct Answer: None; Atropine or
Transcutaneous pacing if asymptomatic
Second degree AV block/Mobitz 2 treatment: Correct Answer: Permanent pacemaker
Third degree AV block treatment: Correct Answer: Permanent pacemaker
SVT treatment: Correct Answer: 1. Vagal maneuvers
2. Adenosine
AVN blockers
amiodarone
cardioconversion
Aflutter treatment: Correct Answer: Stable:Vagal, BB,CCB
Unstable: Synchronized Cardioversion
Afib treatment: Correct Answer: Stable: Vagal, BB, CCB
Unstable: Synchronized cardioversion
Aflutter definitive treatment: Correct Answer: Radiofrequency ablation
Stable V tach treatment: Correct Answer: Stable: Procainamide, Lidocaine, Amiodarone
, Vfib treatment in setting of acute ischemia or infarction: Correct Answer: Unsynchronized
cardioversion (defibrillation) + CPR
Vfib treatment if there is no identifiable cause: Correct Answer: Implantable cardioverter
defibrillator "
Polymorphic vtach treatment: Correct Answer: Cardiovert/defibrillate if unstable
Torsades de pointes treatment: Correct Answer: Mg
Recurrent vtach with no reversable cause treatment: Correct Answer: Implantable
cardiodefibrillator
Sinus Sick Syndrome treatment: Correct Answer: PPM
PPM with AICD if alternating vtac
Bundle Branch Block treatment: Correct Answer: Transcutaneous pacing
Intra-aterial thrombus test of choice: Correct Answer: TEE
Paroxysmal SVT treatment: Correct Answer: Valsalva maneuve, splashing water on face,
vasovagal maneuver
Adenosine (if physical measures fail)
PVC treament (if sx): Correct Answer: BB
PDA test of choice: Correct Answer: Echo
PDA treatment CHF picture: Correct Answer: Diuretics (Furosemide)
PDA treatment: Correct Answer: Indomethacin (premature infants)
Surgical ligation
Tetrology of fallot test of choice: Correct Answer: Echo
Tetrology of fallot treatment: Correct Answer: Prostaglandin E1 to open duct and stabilize--
>surgery
"Tet spell" treatment: Correct Answer: BB
Children will often be squatting
Coarctation of the aorta test of choice: Correct Answer: Angiogram
Coarctation of the aorta treatment (infants): Correct Answer: Prostaglandin E1 to open duct and
stabilize-->balloon angioplasty
Cardiology:
Dilated cardiomyopathy treatment: Correct Answer: ACE inhibitors, beta blockers, diuretics ,
dig, stop offending agent
HOCM treatment: Correct Answer: Beta Blockers
Defibrillators
Dilated Cardiomyopathy test of choice: Correct Answer: TTEcho (LVH dilation, reduced EF)
HOCM test of choice: Correct Answer: Doppler echo
Restrictive cardiomyopathy test of choice: Correct Answer: Echo
Restrictive cardiomyopathy treatment: Correct Answer: None specific
Symptomatic diuresis, vasodilators
First degree AV block treatment: Correct Answer: None
Second degree AV block/Mobitz 1/wenkebach treatment: Correct Answer: None; Atropine or
Transcutaneous pacing if asymptomatic
Second degree AV block/Mobitz 2 treatment: Correct Answer: Permanent pacemaker
Third degree AV block treatment: Correct Answer: Permanent pacemaker
SVT treatment: Correct Answer: 1. Vagal maneuvers
2. Adenosine
AVN blockers
amiodarone
cardioconversion
Aflutter treatment: Correct Answer: Stable:Vagal, BB,CCB
Unstable: Synchronized Cardioversion
Afib treatment: Correct Answer: Stable: Vagal, BB, CCB
Unstable: Synchronized cardioversion
Aflutter definitive treatment: Correct Answer: Radiofrequency ablation
Stable V tach treatment: Correct Answer: Stable: Procainamide, Lidocaine, Amiodarone
, Vfib treatment in setting of acute ischemia or infarction: Correct Answer: Unsynchronized
cardioversion (defibrillation) + CPR
Vfib treatment if there is no identifiable cause: Correct Answer: Implantable cardioverter
defibrillator "
Polymorphic vtach treatment: Correct Answer: Cardiovert/defibrillate if unstable
Torsades de pointes treatment: Correct Answer: Mg
Recurrent vtach with no reversable cause treatment: Correct Answer: Implantable
cardiodefibrillator
Sinus Sick Syndrome treatment: Correct Answer: PPM
PPM with AICD if alternating vtac
Bundle Branch Block treatment: Correct Answer: Transcutaneous pacing
Intra-aterial thrombus test of choice: Correct Answer: TEE
Paroxysmal SVT treatment: Correct Answer: Valsalva maneuve, splashing water on face,
vasovagal maneuver
Adenosine (if physical measures fail)
PVC treament (if sx): Correct Answer: BB
PDA test of choice: Correct Answer: Echo
PDA treatment CHF picture: Correct Answer: Diuretics (Furosemide)
PDA treatment: Correct Answer: Indomethacin (premature infants)
Surgical ligation
Tetrology of fallot test of choice: Correct Answer: Echo
Tetrology of fallot treatment: Correct Answer: Prostaglandin E1 to open duct and stabilize--
>surgery
"Tet spell" treatment: Correct Answer: BB
Children will often be squatting
Coarctation of the aorta test of choice: Correct Answer: Angiogram
Coarctation of the aorta treatment (infants): Correct Answer: Prostaglandin E1 to open duct and
stabilize-->balloon angioplasty
