Cardiology — Flashcards

Flashcard 181: Adverse effects of Adenosine? 4

Answer: • Chest Pain • Bronchospasm • Transient flushing • Can enhance conduction down accessory pathways, resulting in increased ventricular rate (e.g. WPW syndrome)

Flashcard 182: What is Trifascicular Block?

Answer: • RBBB • Left - Axis Deviation • + 1st-Degree Heart Block

Flashcard 183: What does atrial myxoma show on echocardiogram?

Answer: • Pedunculated hetergenous mass

Flashcard 184: What can cause Sudden Heart Failure, raised JVP, Pulsus parodoxus after recent MI?

Answer: • Left Ventricular Free Wall Rupture *Leakage of blood into the pericardial sac, resulting in cardiac tamponade

Flashcard 185: What hypertension medication is contraindicated in asthmatics?

Answer: • Beta-blocker

Flashcard 186: What cardiac medication has a risk of causing thrombophlebitis?

Answer: Amiodarone

Extra: Amiodarone is a potent skin and vein irritant (phlebitis) due to its iodine content and high/low pH. When administered intravenously, it should preferably be delivered through a central line or a large peripheral vein to minimize the risk of thrombophlebitis.

Flashcard 187: What are the ECG changes seen with hypercalcaemia?

Answer: • Shortened QT interval

Flashcard 188: What is a classic "sawtooth" sign on ECG?

Answer: • Atrial flutter

Flashcard 189: What is the dose of atorvastatin for secondary prevention?

Answer: 40–80 mg (High-intensity statin)

Flashcard 190: Which antiarrhythmic can cause a grey skin appearance?

Answer: Amiodarone