Cardiology — Flashcards

Flashcard 131: ACE Inhbitors must be avoided in _____

Answer: pregnant women

Flashcard 132: Effects of Adenosine are enhanced by _____

Answer: dipyridamole (antiplatelet agent)

Flashcard 133: Management of accidental adrenaline injection resulting in digital ischaemia: _____

Answer: Phentolamine injection

Flashcard 134: Polymorphic Tachycardias means the QRS morphology _____

Answer: varies

Flashcard 135: ACE Inhibitors are activated by phase 1 metabolism in the _____

Answer: liver

Flashcard 136: Adenosine causes transient _____ by acting as a agonist of the A1 receptor in the AV node

Answer: heart block in the AV node

Flashcard 137: What monitoring tests should be taken prior to amiodarone treatment? _____

Answer: TFT, LFT, U&E, CXR, ECG

Extra: Amiodarone monitoring rationale: 1. TFT: Risk of iodine-induced thyroid dysfunction. 2. LFT: Risk of hepatotoxicity. 3. CXR: Baseline for potential pulmonary fibrosis. 4. U&E: Electrolyte imbalances (hypokalemia/hypomagnesemia) potentiate pro-arrhythmic effects. 5. ECG: Baseline assessment of QTc interval.

Flashcard 138: The aim of catheter ablation is to ablate the faulty electrical pathways that are resulting in AF This is typically due to aberrant electrical activity between the _____ and left atrium

Answer: pulmonary veins

Flashcard 139: Rythm control trys to get the patient back into, and maintain, normal sinus rhythm. This is termed _____. Drugs pharmacological cardioversion and synchronised DC electrical shocks (electrical cardioversion) may be used for this purpose

Answer: cardioversion

Flashcard 140: How are patients advised when prescribed GTN?

Answer: • Take the GTN when the symptoms start • Take a second dose after 5 minutes if the symptoms remain • Call an ambulance if the symptoms remain 5 minutes after the second dose