Lopes Lectures

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

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This heart murmur produces prominent a waves in the internal jugular veins.
The #1 cause for ______ stenosis is Rheumatic Heart Disease due to strep infection during childhood.
Acute myocardial ischemia may cause transient weakening and dysfunction of the papillary muscles leading to _______
Diagnosis: Gallbladder spasm affecting the right upper quadrant and may refer to the right scapula. Characteristic abdominal ultrasound.
Region of MI: ST elevation in I, avL, V5, V6. Caused by occlusion of the circumflex artery.
Widened pulse pressure is associated with this heart murmur.
Diagnosis: Retrosternal pain that waxes and wanes. Relieved by 'GI cocktail'
Gold Standard for PAD diagnosis
Heart Sound: Atrial Kick. If the ventricle walls are stiff and non-compliant, the atrium contracts harder and produces an extra sound.
Region of MI: Changes in any of the precordial leads. Caused by occlusion of the LAD
If this myocardial protein is absent in blood test, then AMI is ruled out and the patient may be faking a cardiac injury.
The pain of infarction is referred to _______ dermatomes including the neck & jaw, shoulders, and arms.
Decreased contractility, MR, and VSD lead to this complication of MI.
Size of normal abdominal aorta
Syndrome ___: Patients with typical angina symptoms with no evidence of coronary atherosclerosis
Left atrium dilation stretches the atrial conduction fibers and may disrupt the integrity of the cardiac conduction system, resulting in _______.
Silent ischemia can occur in ______ patients. An annual 12-Lead ECG is needed.
Primary contributor to the development of descending thoracic and abdominal aneurysms along with smoking, HTN, dyslipidemia, male gender, advanced age.
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
_______ 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.
Diaphoresis, Tachycardia and Elevated BP are due to increased _________ tone.
Substernal pain or pressure, diaphoresis, nausea, vomiting, weakness, mild fever, and S4 are all signs and symptoms of acute ______.
Weight loss drug that causes valvular damage.
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.
Best screening for abdominal aortic aneurysm
Diagnosis: Pain changes with position, friction rub.
Region of MI: Changes indicated by looking for reciprocal changes in the anterior leads, especially V1. Caused by occlusion of the right coronary artery.
90% of ACS result from disruption of _______plaque with subsequent platelet aggregation and formation of an intracoronary thrombus.
Best test for PAD evaluation and diagnosis. Normal value is >1.0
Heart Sound: Ventricular Gallop. Heard in the presence of failing LV systolic function.
Diagnosis of last resort; Must rule out other diagnosis with testing.
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.
Most common location for aortic aneurysmsfollowed by thoracic aorta
Most frequent symptom of intermittent MI
Inherited connective-tissue disorder transmitted as an autosomal dominant trait. Mutations in fibrillin needed for lenses and substrate for elastin in the aorta.
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.
The pathophysiology of this heart murmur include Syncope, Angina, and Heart Failure. The cause is related to aging.
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!
50% of patients with Peripheral Arterial Disease (PAD) have _____
Apical holosystolic murmur that radiates to the axilla. CXR may show LA and LV enlargement. ECG shows LA enlargement and LV hypertrophy.
A finding that would support a diagnosis of peripheral arterial disease in a patient's leg because there is no blood supply.
Region of MI: ST elevation in Lead II, III, avF. Often caused by occlusion of right coronary artery or its descending branch
Pain in the leg
PAD is a disease equivalent to CAD and LDL should be less than _______mg/dL

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