Lopes Lectures

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Can you name the Lopes Lectures- ACS, Vascular Disease, Valvular, 12 Lead?

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Inherited connective-tissue disorder transmitted as an autosomal dominant trait. Mutations in fibrillin needed for lenses and substrate for elastin in the aorta.
Apical holosystolic murmur that radiates to the axilla. CXR may show LA and LV enlargement. ECG shows LA enlargement and LV hypertrophy.
Best screening for abdominal aortic aneurysm
Substernal pain or pressure, diaphoresis, nausea, vomiting, weakness, mild fever, and S4 are all signs and symptoms of acute ______.
Syndrome ___: Patients with typical angina symptoms with no evidence of coronary atherosclerosis
Decreased contractility, MR, and VSD lead to this complication of MI.
Diaphoresis, Tachycardia and Elevated BP are due to increased _________ tone.
Diagnosis of last resort; Must rule out other diagnosis with testing.
PAD is a disease equivalent to CAD and LDL should be less than _______mg/dL
Region of MI: ST elevation in Lead II, III, avF. Often caused by occlusion of right coronary artery or its descending branch
_______ Regurgitation produces prominent v waves in the internal jugular veins. The regurgitation of RV blood into the systemic venous circulation also produces a pulsatile liver.
Diagnosis: Gallbladder spasm affecting the right upper quadrant and may refer to the right scapula. Characteristic abdominal ultrasound.
50% of patients with Peripheral Arterial Disease (PAD) have _____
Region of MI: Changes indicated by looking for reciprocal changes in the anterior leads, especially V1. Caused by occlusion of the right coronary artery.
An acute life threatening event that results from 'unzipping' of the intimal layer of the aorta, causing bleeding into the lumen. Related to the degeneration of arterial integrity
Size of normal abdominal aorta
Most frequent symptom of intermittent MI
Diagnosis: 69yo man with severe sudden dyspnea and 'terrible' chest pain that radiates to his upper back. Medical history is significant for HTN, COPD and 100 pack-year history.
Region of MI: Changes in any of the precordial leads. Caused by occlusion of the LAD
The pain of infarction is referred to _______ dermatomes including the neck & jaw, shoulders, and arms.
The pathophysiology of this heart murmur include Syncope, Angina, and Heart Failure. The cause is related to aging.
Heart Sound: Ventricular Gallop. Heard in the presence of failing LV systolic function.
Diagnosis: Pain changes with position, friction rub.
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Left atrium dilation stretches the atrial conduction fibers and may disrupt the integrity of the cardiac conduction system, resulting in _______.
A finding that would support a diagnosis of peripheral arterial disease in a patient's leg because there is no blood supply.
Heart Sound: Atrial Kick. If the ventricle walls are stiff and non-compliant, the atrium contracts harder and produces an extra sound.
This heart murmur produces prominent a waves in the internal jugular veins.
This myocardial protein is useful for early and late diagnosis of AMI. It begins to rise by 3 hours from onset of symptoms and persists for 7-14 days.
Diagnosis: Retrosternal pain that waxes and wanes. Relieved by 'GI cocktail'
Most common location for aortic aneurysmsfollowed by thoracic aorta
Primary contributor to the development of descending thoracic and abdominal aneurysms along with smoking, HTN, dyslipidemia, male gender, advanced age.
The #1 cause for ______ stenosis is Rheumatic Heart Disease due to strep infection during childhood.
TMST
55yo woman had stomach and chest discomfort. Her blood test was positive for Troponin, myoglobin, and CK-MB. ECG was normal. What is the most likely diagnosis.
90% of ACS result from disruption of _______plaque with subsequent platelet aggregation and formation of an intracoronary thrombus.
Widened pulse pressure is associated with this heart murmur.
Weight loss drug that causes valvular damage.
Silent ischemia can occur in ______ patients. An annual 12-Lead ECG is needed.
Gold Standard for PAD diagnosis
Region of MI: ST elevation in I, avL, V5, V6. Caused by occlusion of the circumflex artery.
Contrast-enhanced CT is most commonly used to diagnose this condition. CXR may show a widened mediastinum (nonspecific finding)Do not miss this or your ass is grass!
Pain in the leg
If this myocardial protein is absent in blood test, then AMI is ruled out and the patient may be faking a cardiac injury.
Acute myocardial ischemia may cause transient weakening and dysfunction of the papillary muscles leading to _______
Best test for PAD evaluation and diagnosis. Normal value is >1.0

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Created Mar 19, 2011ReportNominate
Tags:acs, disease, lead, lope