Transcript Cardiology Jeopardy

Cardiology Jeopardy
Don’t Go
Failing My
Heart
Acute
Coronary
Syndromes
Name that
Rhythm
Cardiac
Numbers
100
100
100
200
200
200
200
200
300
300
300
300
300
400
400
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400
All About Valves
100
100
400
Name That Rhythm - 100
Name That Rhythm - 200
Name That Rhythm - 300
Name That Rhythm - 400
Cardiac Numbers - 100
Q: Indications for biventricular pacemakerdefibrillator placement include NYHA class
III or IV heart failure, a QRS width greater
than 120 msec, and an ejection fraction
less than or equal to this percent.
Cardiac Numbers - 200
 In
asymptomatic patients, repair is
indicated for abdominal aortic aneurysms
with this transverse diameter or larger, or
those demonstrating an expansion rate of
more than 0.5 cm/year.
Cardiac Numbers - 300
 Thrombolytic
therapy has not shown a
clear benefit for patients presenting more
than this many hours from symptom onset.
Cardiac Numbers - 400
 Exercise
stress testing is only diagnostic
at an adequate workload, defined as
achieving this percent of the maximum
predicted heart rate.
Don’t Go Failing My Heart - 100
A
set of major and minor findings used to
charaterize the clinical syndrome of heart
failure, named after a landmark cardiologic
study
Don’t Go Failing My Heart - 200
 While
this class of medications has been
shown to decrease mortality in Class III
and IV heart failure patients, they were
shown in a recent study to improve
mortality even in patients with class I or II
NYHA heart failure
Don’t Go Failing My Heart - 300
 Grade
2 diastolic heart failure is often
referred to on echo reports as this
Don’t Go Failing My Heart - 400
 This
electrocardiographic finding
automatically disqualifies a patient for
cardiac resynchronization therapy
All About Valves - 100
 Physical
examination features of this
disease includes a mid- to late-peaking
systolic murmur, an S4, a single S2 and
delayed timing and decreased amplitude
in the carotid pulses (pulsus parvus et
tardus)
All About Valves -200
 The
echocardiographic appearance of the
cardiac sequelae of this "hot" disease is
one of commissural fusion, leaflet
thickening, calcification, and restricted
leaflet motion.
All About Valves - 300
 This
procedure, used to establish coronary
perfusion and afterload reduction, is
contraindicated in patients with aortic
valve regurgitation
All About Valves - 400
 In
discussion of this syndrome, which is a
constellation of nonspecific symptoms
including palpitations, atypical chest pain,
dyspnea, fatigue, orthostatic symptoms,
and neuropsychiatric complaints,
something usually clicks
Acute Coronary Syndromes - 100
 This
process, thought to be responsible for
most cases of in-stent restenosis, is the
target for the drugs eluted by drug eluting
stents
Acute Coronary Syndromes - 200
 Sometimes
mistaken for ischemic ST
elevation in the anteroseptal leads, this
syndrome is a relatively rare but significant
cause of sudden cardiac death,
particularly in males of Southeast Asian
descent
Acute Coronary Syndromes - 300
 This
constellation of findings includes
biphasic t waves in the anteroseptal leads
transitioning to inverted t waves in the
anterolateral leads and often denotes an
acute proximal LAD occlusion
Acute Coronary Syndromes - 400
A
67 year old male whose parents have no
cardiac history; with a personal history of
hypertension and current smoking who
takes no medications and presents with
severe intermittent crushing chest pain for
the last two days, no ST changes, and an
troponin of .6 has this TIMI risk score