Notes in 08_cardiac

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Published 12/28/2023 What is the classic finding on EKG for stable angina? How is stable angina relieved?
Published 12/28/2023 What is the classic finding on EKG for Prinzmetal angina? Treatment?
Published 12/28/2023 What cardiac marker is useful for detecting reinfarction on top of an acute MI? When does it peak and how long does it remain detectable? 
Published 12/28/2023 What cardiac marker is the gold standard for detecting an MI? When does it first become detectable, peak, and become no longer detectable? 
Published 12/28/2023 In the first 6 hrs of an MI, what is your best diagnostic tool?
Published 12/28/2023 What are three severe complications that can occur 4-7 days post-MI? 
Published 12/28/2023 What is Dressler syndrome?
Published 12/28/2023 What complication can occur 4-24 hours post-MI? 
Published 12/28/2023 Do "heart-failure cells" present with left- or right-sided heart failure? How do they form? 
Published 12/28/2023 What is the most common cause of right-sided heart failure?
Published 12/28/2023 What are three clinical features of right-sided HF?
Published 12/28/2023 What 3 congential heart defects initially present with left-to-right shunting?
Published 12/28/2023 What is the most common congenital cardiac anomaly? What syndrome is it associated with?
Published 12/28/2023 What determines the degree of shunting in a VSD? How is VSD treated?
Published 12/28/2023 What type of heart defect is characterized by a loud S1 and a wide, fixed split S2?
Published 12/28/2023 What are the two types of ASD? What is significant about each? 
Published 12/28/2023 What cardiac defect is associated with congenital rubella? 
Published 12/28/2023 PDA bypasses what part of the circulatory system? 
Published 12/28/2023 PDA is known for what characteristic murmur?
Published 12/28/2023 What drug is used to close a PDA?
Published 12/28/2023 How does PDA typically present, clinically? 
Published 12/28/2023 What are the components of tetralogy of fallot?
Published 12/28/2023 What type of shunt does Tetralogy of fallot result in?
Published 12/28/2023 What x-ray finding is classically associated with Tetralogy of Fallot? 
Published 12/28/2023 What congenital cardiac defect is associated with maternal diabetes?
Published 12/28/2023 What are the five right-to-left shunts that present with early cyanosis? 
Published 12/28/2023 What embryological problem results in a transposition of the great vessels?
Published 12/28/2023 What is the immediate post-birth treatment for an infant with transposition of the great vessels? 
Published 12/28/2023 Describe the infantile form of coarctation of the aorta. What genetic abnormality is it associated with? 
Published 12/28/2023 Describe the clinical presentation of the adult form of coarctation of the aorta: 
Published 12/28/2023 How are aortic stenosis caused by age and aortic stenosis caused by chronic rheumatic valve disease distinguishable? 
Published 12/28/2023 Stable angina represents atherosclerotic occulusion of how much coronary artery? 
Published 12/28/2023 How does stable angina present? 
Published 12/28/2023 Unstable angina manifests from what pathological process? 
Published 12/28/2023 Is myocyte injury in unstable angina still reversible? 
Published 12/28/2023 What EKG findings do you expect in unstable angina? 
Published 12/28/2023 What is the most feared complication of unstable angina? 
Published 12/28/2023 Other than plaque rupture and full coronary artery occlusion, what are 3 less common causes of MI? 
Published 12/28/2023 What are the clinical features of an MI? 
Published 12/28/2023 What is the most commonly involved vessel in an MI? 
Published 12/28/2023 What structures become ischemic in LAD infarction (3) ? 
Published 12/28/2023 What structures can become ischemic in an infarction of the RCA? 
Published 12/28/2023 What structure becomes ischemic in an infarct of the LCX? 
Published 12/28/2023 Describe the progression of EKG findings one would find if measuring right at the start of a STEMI MI: 
Published 12/28/2023 Treatment for an MI can include what 6 therapies/therapeutic classes? 
Published 12/28/2023 What are two complications of fibrinolysis/angioplasty (PCI) post-MI? 
Published 12/28/2023 What complications might be seen < 4 hours post-MI (3)? 
Published 12/28/2023 Describe the gross and microscopic changes seen in cardiac tissue < 4 hrs post-MI: 
Published 12/28/2023 Describe the gross and microscopic changes seen in cardiac tissue 4-24 hrs post-MI: 
Published 12/28/2023 Describe the gross and microscopic changes seen in cardiac tissue 1-3 days post-MI: 
Published 12/28/2023 Describe the gross and microscopic changes seen in cardiac tissue 4-7 days post-MI: 
Published 12/28/2023 Describe the gross and microscopic changes seen in cardiac tissue 1-3 weeks post-MI: 
Published 12/28/2023 Describe the gross and microscopic changes seen in cardiac tissue months post-MI: 
Published 12/28/2023 What is sudden cardiac death? 
Published 12/28/2023 What are 4 causes of sudden cardiac death? 
Published 12/28/2023 What are two general clinical sequelae of left-sided heart failure?
Published 12/28/2023 What is the mainstay of treatment for left-sided heart failure? 
Published 12/28/2023 When during embryogenesis do congenital heart defects typically arise? 
Published 12/28/2023 What is the incidence of congenital heart defects? 
Published 12/28/2023 How do left-to-right shunts progress and present? 
Published 12/28/2023 How do congential right-to-left shunts typically present? 
Published 12/28/2023 A paradoxical embolus (e.g. stroke occurs following DVT) is suggestive of what pathology? 
Published 12/28/2023 The degree of pulmonic stenosis influences what two factors in Tetrology of Fallot? 
Published 12/28/2023 How do Tetrology of Fallot patients typically respond to cyanotic spells? 
Published 12/28/2023 How are the ventricles affected in cases of transposition of the great vessels? 
Published 12/28/2023 How is truncus arteriosus characterized? 
Published 12/28/2023 Tricuspid atresia results in absent communication between the right atrium and right ventricle. What other defect is it typically associated with? Wha…
Published 12/28/2023 Valvular lesions general result in what two valvular issues? 
Published 12/28/2023 How long following an episode of Group A β-hemolytic strep pharyngitis does acute rheumatic fever typically present? 
Published 12/28/2023 Describe the pathogenesis of acute rheumatic fever: 
Published 12/28/2023 What are the criteria for diagnosing Rheumatic Fever? 
Published 12/28/2023 What are the JONES criteria (be detailed)? 
Published 12/28/2023 How can acute rheumatic fever progress?
Published 12/28/2023 What is chronic rheumatic heart disease? 
Published 12/28/2023 Classic "fish-mouth" appearance of heart valves is assoicated with what condition? 
Published 12/28/2023 What two valves are most commonly involved in chronic rheumatic heart disease? Specifically what gross changes can be appreciated? 
Published 12/28/2023 Describe the 3 typical etiologies of aortic valve stenosis:
Published 12/28/2023 How can one distinguish aortic stenosis due to chronic rheumatic valve disease from typical "wear and tear" aortic valve stenosis? 
Published 12/28/2023 Why does aortic stenosis remain undetected for a prolonged period?
Published 12/28/2023 What are 3 major complications of aortic valve stenosis? 
Published 12/28/2023 What is the treatment for aortic stenosis? 
Published 12/28/2023 What are some common causes of aortic regurgitation? 
Published 12/28/2023 What are the 5 clinical features of aortic regurgitation (murmur, circulatory changes, ventricular changes)? 
Published 12/28/2023 How does a bounding "water-hammer" pulse develop in aortic regurgitation? 
Published 12/28/2023 What is mitral prolapse? 
Published 12/28/2023 What % of US adults have mitral valve prolapse?
Published 12/28/2023 What is the pathological change that causes mitral prolapse? 
Published 12/28/2023 In what two genetic conditions is mitral prolapse commonly seen?
Published 12/28/2023 What is the typical murmur heard in mitral prolapse and what maneuver makes it softer/louder?
Published 12/28/2023 What are the complications of mitral stenosis? What is the treatment? 
Published 12/28/2023 What are the clinical features of mitral stenosis (murmur, LA/pulmonary effects)? 
Published 12/28/2023 What is most common overall cause of infective endocarditis? 
Published 12/28/2023 What is the pathophysiology of vegetation development in the instance of an S. viridans infection? 
Published 12/28/2023 What is the difference between "acute" and "subacute" endocarditis? 
Published 12/28/2023 S. aureus, S. bovis, S. epidermidis: what patients are associated with endocarditis caused by each? 
Published 12/28/2023 What are the HACEK organisms and what do they cause? 
Published 12/28/2023 What are the clinical features of bacterial endocarditis (4)? 
Published 12/28/2023 Describe non-bacterial thrombotic endocarditis (4 features): 
Published 12/28/2023 Describe Libman-Sacks endocarditis. What valve defect will it lead to? 
Published 12/28/2023 Does DCM result in heart failure with systolic or diastolic dysfunction? What are some common complications of biventricular dilation? 
Published 12/28/2023 What are the 7 major causes of DCM? 
Published 12/28/2023 Hereditary HCM is usually due to mutations in what kind of protein? 
Published 12/28/2023 What are the clinical features of HCM (3)? 
Published 12/28/2023 What does biopsy of HCM show?
Published 12/28/2023 How does restrictive cardiomyopathy typically present? What specific EKG abnormality might be present? 
Published 12/28/2023 What are 4 causes of restrictive cardiomyopathy? 
Published 12/28/2023 What is a myxoma? 
Published 12/28/2023 What finding is characteristic of myxoma on histological examination? 
Published 12/28/2023 How does a myxoma cause symptoms? 
Published 12/28/2023 What is the most common primary cardiac tumor of the heart in children? What condition is it associated with? Where does it commonly arise? 
Published 12/28/2023 What is the most common tumor of the heart? 
Published 12/28/2023 What are the most common heart mets? How do they usually present?
Published 12/28/2023 What is this?
Published 12/28/2023 What are these?
Published 12/28/2023 What is this? 
Published 12/28/2023 This gross specimen demostrates what pathology?
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