Cardio at University of Medicine and Pharmacy of Bucharest

Flashcards and summaries for Cardio at the University of Medicine and Pharmacy of Bucharest

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Study with flashcards and summaries for the course Cardio at the University of Medicine and Pharmacy of Bucharest

Exemplary flashcards for Cardio at the University of Medicine and Pharmacy of Bucharest on StudySmarter:

Ce poate prezenta sindr. de preexcitatie pe ekg?

Exemplary flashcards for Cardio at the University of Medicine and Pharmacy of Bucharest on StudySmarter:

Cord pulmonar cronic:

Exemplary flashcards for Cardio at the University of Medicine and Pharmacy of Bucharest on StudySmarter:

Tahiaritmie prin reintrare AV ortodromica (TRAV ortodromica):

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Exemplary flashcards for Cardio at the University of Medicine and Pharmacy of Bucharest on StudySmarter:

Diferenta dintre FA cu sindrom WPW si FA fara sindrom WPW

Exemplary flashcards for Cardio at the University of Medicine and Pharmacy of Bucharest on StudySmarter:

Ce se intampla daca dai beta blocante, blocante de calciu, adenozina sau amiodarona in FA asociata cu WPW?

Exemplary flashcards for Cardio at the University of Medicine and Pharmacy of Bucharest on StudySmarter:

Elemente EKG in flutter atrial tipic (antiorar):


Exemplary flashcards for Cardio at the University of Medicine and Pharmacy of Bucharest on StudySmarter:

Elemente EKG in flutter atrial tipic inversat (orar)

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Exemplary flashcards for Cardio at the University of Medicine and Pharmacy of Bucharest on StudySmarter:

In ce conditii patologice apare tahicardia sinusala?

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Etiologie ESA:

Exemplary flashcards for Cardio at the University of Medicine and Pharmacy of Bucharest on StudySmarter:

etiologie tahicardia jonctionala neparoxistica:

Exemplary flashcards for Cardio at the University of Medicine and Pharmacy of Bucharest on StudySmarter:

Indicatii la cardioversie in FA:

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Exemplary flashcards for Cardio at the University of Medicine and Pharmacy of Bucharest on StudySmarter:

Conversie la RS farmacologica in FA:

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Exemplary flashcards for Cardio at the University of Medicine and Pharmacy of Bucharest on StudySmarter:

Cardio

Ce poate prezenta sindr. de preexcitatie pe ekg?
PR scurt < 120ms
QRS lung > 120 ms
Unda delta (depolarizare ventriculara precoce din sensul caii accesorii)

Cardio

Cord pulmonar cronic:
-Hipertrofie/dilatatie ventricul drept consecutiv unor afectiuni pulmonare.
-Se poate asocia cu IC dreapta
-Pat vascular pulmonar afectat cu HTP consecutiva - HVD/DVD
-De obicei complicatie in BPOC

Cardio

Tahiaritmie prin reintrare AV ortodromica (TRAV ortodromica):

Tahiaritmie cu conducere anterograda pe calea normala (NAV) si conducere retrograda pe calea accesorie (deci fara unda delta => QRS ingust). 
= 95% din TRAV

Cardio

Diferenta dintre FA cu sindrom WPW si FA fara sindrom WPW

NAV are functia de a bloca o mare parte din furtuna de semnale ce vin din atriu, astfel o FA simpla rapida poate avea o frecventa atriala de pana la 500-600 bpm in timp ce complexele QRS nu vor depasi frecventa de 150-200. In plus toate complexele vor avea aceeasi morfologie (inguste) fara unde delta (neexistand o cale accesorie nu exista sindrom de preexcitatie). In FA asociata cu WPW, existenta caii accesorii va permite mai multor unde de depolarizare sa iasa din atriu in ventricul (in afara de cele care ies prin NAV) astfel frecventa depolarizarilor ventriculare poate creste pana la 250-300, iar morfologia complexelor QRS va fi variabila: undele care intra prin calea accesorie vor prezenta unda delta (QRS alungit) iar cele care vor intra prin NAV nu (QRS ingust) => si intervalul PR va fi variabil (scurt/normal) 

Cardio

Ce se intampla daca dai beta blocante, blocante de calciu, adenozina sau amiodarona in FA asociata cu WPW?

Inhibitia NAV a acestor medicamente va redirectiona mai multe unde prin calea accesorie cu posibilitatea aparitiei fibrilatiei ventriculare. 

Cardio

Elemente EKG in flutter atrial tipic (antiorar):


Unde P negative cu aspect in dinti de fierastrau + absenta liniei izoelectrice in derivatiile inferioare (DII DIII aVF)

Unde P pozitive cu segmente izoelectrice prezente in V1

Frecventa atriala 250-350

Cardio

Elemente EKG in flutter atrial tipic inversat (orar)

Unde P pozitive de obicei fara aspect in dinti de fierastrau + absenta liniei izoelectrice in derivatiile inferioare (DII DIII aVF)

Unde P negative si alungite in V1

Frecventa atriala 250-350 

Cardio

In ce conditii patologice apare tahicardia sinusala?

-boala ischemica

-pericardita

-miocardita

-colaps cu hT

-soc

-boli acute febrile

-boli pulmonare cronice

-hipertiroidie

-insuf renala

-avc

Cardio

Etiologie ESA:

fumat, alcool, cofeina, stress, miocardita, ischemie atriala, hipoxie cronica

Cardio

etiologie tahicardia jonctionala neparoxistica:

supradozaj digitalic

congenitala

miocardita

RAA cu cardita

IMA inferior

chirurgia valvei mitrale

poate sa se instituie dupa tratamentul digitalic al fibrilatiei atriale cronice

Cardio

Indicatii la cardioversie in FA:

-FA paroxistica sau recenta <6luni-1an

-AS cu diametru < 45-50mm

-FEVS > 40%

-fara tromboze AS/AAS

-fara tratament digitalic sau cu verapamil

-dupa anticoagulare sau verificare trombi

Cardio

Conversie la RS farmacologica in FA:

-amiodarona

-flecainida

-ibutilida

-propafenona

-vernakalant

-chinidina

+- digoxin, betablocante, calciu blocante

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Cardiología

Cardiologie

CARDIO LIS

CARDIO ❤️

cardiologia :)

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