Cardiology — Flashcards

Flashcard 331: Myocarditis most commonly presents with _____ then chest pain with a recent history of viral illness

Answer: fatigue

Flashcard 332: What is the management for atrial fibrillation if rate control or rhythm control is not an option? _____

Answer: Catheter ablation

Flashcard 333: A 34 year-old patient presents with 2 weeks of fever and URTI. He is fatigued with chest pain and dyspnoea. On investigation there are ↑ troponins. What is the most likely diagnosis? _____

Answer: Myocarditis

Flashcard 334: What is the diagnostic investigation for myocarditis? _____

Answer: Biopsy but this is very risky, so not often done Echocardiogram may be done to differentiate pericarditis vs myocarditis

Flashcard 335: Pharmacological rhythm control for atrial fibrillation: 1st line = _____ 2nd line = Flecainide (contraindicated in structural heart disease)

Answer: Amiodarone

Flashcard 336: _____ sign is increased JVP on inspiration and present in constrictive pericarditis & restrictive cardiomyopathy

Answer: Kussmaul's

Flashcard 337: Bleeding risk for atrial fibrillation is assessed with the _____ score when deciding risk vs benefits for anticoagulation

Answer: ORBIT

Flashcard 338: ECG for myocarditis may show _____ & T-wave inversion

Answer: ST-segment elevation

Flashcard 339: The main management for atrial fibrillation is _____ control

Answer: rate

Flashcard 340: CHA2DS2-VASc score and Anticoagulation (Non-valvular AF): Score 0 (males) or 1 (females): _____ Score 1 (males): Consider anticoagulation Score ≥2 (males) or ≥3 (females): Offer/Recommend anticoagulation

Answer: No anticoagulation

Extra: C: CHF (1) H: HTN (1) A2: Age ≥75 (2) D: Diabetes (1) S2: Stroke/TIA/Thromboembolism (2) V: Vascular disease (1) A: Age 65-74 (1) Sc: Sex category (Female = 1)