QUESTIONS | WITH ACTUAL ANSWERS!!(2025)
Terms in this set (295)
Dilated Cardiomyopathy: most alcohol; may also be idiopathic, myocarditis, or drugs
common cause is ____. (doxorubicin) -- 1 in 3 cases of heart failure are caused by
Others? dilated cardiomyopathy
What PE and EKG changes are PE: S3, JVD, crackles - possible
seen with dilated mitral regurg EKG: nonspecific ST and
cardiomyopathy? T wave changes, LBBB
Hypertrophic cardiac septum; S4
cardiomyopathy: is due to
hypertrophy of the _. PE
reveals mitral
regurgitation, aheart sound, and
prominent left ventricular
impulse. EKG reveals LVH
Restrictive cardiomyopathy: --infiltrative process - amyloidosis, sarcoidosis, and
often caused by a process, hemochromatosis -- changes in myocardium
or post-radiation or post --most common first symptom is exertion intolerance and fluid retention,
signs of
open-heart surgery. What is the
most right heart failure
common first symptom?
Atrial fibrillation - regularly 1. rate control w BB, CCB, or digoxin
irregular - the most common 2. Anticoagulation w heparin & warfarin
sustained arrhythmia in 3. rhythm control w amiodarone or cardioversion
adults - what three treatments are
used?
1. cardioversion if no contraindications
Atrial flutter - sawtooth pattern
in II, III, aVF 2. acute rate control tx w BB, CCB - amiodarone, sotalol, quinidine, or
procainamide
- what three treatments are used?
3. If site of reentrant is known, catheter ablation
,Multifocal atrial tachycardia CCB
- noted in patients with
COPD or severe systemic
illness - EKG shows multiple
shaped P waves and
differing PR intervals
______________________
are
agents of choice?
BLOCKS First degree; Wenckebach Mobitz type I; Mobitz type II, Third degree
1____=prolonged PR interval block
2____=progressive increase in PR
until
Pwave is blocked.
3_____=sudden block in P wave w no
change
in PR
4_____=atrial and ventricular rhythm
are
independent of each other.
A___may develop after acute MI, PE, Bundle branch block
aortic
stenosis and is due to a
conduction delay in the right or
left bundles.
Paroxysmal supraventricular vagal maneuvers or antianxiety medication
tachycardia is a reentry
tachycardia, commonly noted in
elderly patients with
underlying heart disease.
What treatment may be
helpful before using
adenosine ie. the drug of
choice?
What are some drugs tricyclic antidepressants, erythromycin, ketoconazole,
associated with Torsades de haloperidol, cisapride, disopyramide, pentamidine, sotalol,
pointes? class I anti-arrhythmics
CHF - Systolic dysfunction pump; CCB!
means a problem with the
, ____. What drug is
contraindicated?
CHF - Diastolic dysfunction compliance or relaxation of the heart during ventricular filling
means a problem with the
____.
The____principle means that as Frank-Starling principle
preload
increases, the ventricle is
stretched during diastole filling
and the ejection fraction is
increased.
___is released from cardiac BNP - B-type natriuretic peptide
ventricles in
response to increased wall
tension.
1. diuretics for fluid retention
2. ACEi
What is the pharmacologic
3. vasodilators (hydralazine & nitrates)
therapy for heart failure? 4. BB for LV dysfunction
5. digitalis to increase cardiac contractility
Functional Classification of Heart Class I, Class II, Class III, Class IV
Failure:
___-No cardiac symptoms with
ordinary activity.
___-Cardiac symptoms w
MARKED activity but
asymptomatic at rest
___-Cardiac symptoms w MILD
activity but asymptomatic at
rest
___-Cardiac symptoms at rest.
Stage 1 Hypertension is defined 140/90; 160/100
as greater than ____. Stage 2
Hypertension is defined
as greater than ____.