Lopes Lectures

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

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

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