angiography 4 21
- related: Cardiology
- tags: #note
Angiography
Cases
- atenolol cleared by kidney
- beta blocker first line because only one prevents MI
- CCB can be good for vasospastic angina
- need nitrate free period of 12 hours to avoid nitrate tolerance
- ranolazine drug drug interaction with cardizem, decrease dose (CYP)
- PCI
- CABG because reversible
- can take SL nitrate as ppx prior to exercise
- HTN: treat to 130/80, lower = better
- 6 months total
- if not having sx can also try to get rid of isosorbide since revascularization is complete
Mahesh lecture
-
JVD from cross room: perhaps V wave and TR.
-
Fredrich's sign: exaggerated x wave or diastolic collapse of neck veins from constrictive pericarditis
-
Kussmaul's sign: no high predicative value. Neck vein rise in inspiration
-
pulsus alternans:
- can be in severe LV heart failure due to alternating squeeze with increased intracellular calcium, moving back and forth on starling curve
-
pulsus bisferiens: squeeze and severe regurgitation with severe AI.