Cardiology JeopardyCardiology Jeopardy

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Name that Rhythm

Cardiac Numbers

Don’t Go Failing My

HeartAll About Valves

Acute Coronary

Syndromes

Name That Rhythm - 100Name That Rhythm - 100

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Cardiac Numbers - 100Cardiac Numbers - 100

Q: Indications for biventricular pacemaker-Q: Indications for biventricular pacemaker-defibrillator placement include NYHA class defibrillator placement include NYHA class III or IV heart failure, a QRS width greater III or IV heart failure, a QRS width greater than 120 msec, and an ejection fraction than 120 msec, and an ejection fraction less than or equal to this percent.less than or equal to this percent.

Cardiac Numbers - 200Cardiac Numbers - 200

In asymptomatic patients, repair is In asymptomatic patients, repair is indicated for abdominal aortic aneurysms indicated for abdominal aortic aneurysms with this transverse diameter or larger, or with this transverse diameter or larger, or those demonstrating an expansion rate of those demonstrating an expansion rate of more than 0.5 cm/year.more than 0.5 cm/year.

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Thrombolytic therapy has not shown a Thrombolytic therapy has not shown a clear benefit for patients presenting more clear benefit for patients presenting more than this many hours from symptom onset.than this many hours from symptom onset.

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Exercise stress testing is only diagnostic Exercise stress testing is only diagnostic at an adequate workload, defined as at an adequate workload, defined as achieving this percent of the maximum achieving this percent of the maximum predicted heart rate.predicted heart rate.

Don’t Go Failing My Heart - 100Don’t Go Failing My Heart - 100

A set of major and minor findings used to A set of major and minor findings used to charaterize the clinical syndrome of heart charaterize the clinical syndrome of heart failure, named after a landmark cardiologic failure, named after a landmark cardiologic studystudy

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While this class of medications has been While this class of medications has been shown to decrease mortality in Class III shown to decrease mortality in Class III and IV heart failure patients, they were and IV heart failure patients, they were shown in a recent study to improve shown in a recent study to improve mortality even in patients with class I or II mortality even in patients with class I or II NYHA heart failureNYHA heart failure

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Grade 2 diastolic heart failure is often Grade 2 diastolic heart failure is often referred to on echo reports as thisreferred to on echo reports as this

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This electrocardiographic finding This electrocardiographic finding automatically disqualifies a patient for automatically disqualifies a patient for cardiac resynchronization therapycardiac resynchronization therapy

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Physical examination features of this Physical examination features of this disease includes a mid- to late-peaking disease includes a mid- to late-peaking systolic murmur, an S4, a single S2 and systolic murmur, an S4, a single S2 and delayed timing and decreased amplitude delayed timing and decreased amplitude in the carotid pulses (pulsus parvus et in the carotid pulses (pulsus parvus et tardus)tardus)

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The echocardiographic appearance of the The echocardiographic appearance of the cardiac sequelae of this "hot" disease is cardiac sequelae of this "hot" disease is one of commissural fusion, leaflet one of commissural fusion, leaflet thickening, calcification, and restricted thickening, calcification, and restricted leaflet motion.leaflet motion.

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This procedure, used to establish coronary This procedure, used to establish coronary perfusion and afterload reduction, is perfusion and afterload reduction, is contraindicated in patients with aortic contraindicated in patients with aortic valve regurgitationvalve regurgitation

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In discussion of this syndrome, which is a In discussion of this syndrome, which is a constellation of nonspecific symptoms constellation of nonspecific symptoms including palpitations, atypical chest pain, including palpitations, atypical chest pain, dyspnea, fatigue, orthostatic symptoms, dyspnea, fatigue, orthostatic symptoms, and neuropsychiatric complaints, and neuropsychiatric complaints, something usually clickssomething usually clicks

Acute Coronary Syndromes - 100Acute Coronary Syndromes - 100

This process, thought to be responsible for This process, thought to be responsible for most cases of in-stent restenosis, is the most cases of in-stent restenosis, is the target for the drugs eluted by drug eluting target for the drugs eluted by drug eluting stentsstents

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Sometimes mistaken for ischemic ST Sometimes mistaken for ischemic ST elevation in the anteroseptal leads, this elevation in the anteroseptal leads, this syndrome is a relatively rare but significant syndrome is a relatively rare but significant cause of sudden cardiac death, cause of sudden cardiac death, particularly in males of Southeast Asian particularly in males of Southeast Asian descentdescent

Acute Coronary Syndromes - 300Acute Coronary Syndromes - 300

This constellation of findings includes This constellation of findings includes biphasic t waves in the anteroseptal leads biphasic t waves in the anteroseptal leads transitioning to inverted t waves in the transitioning to inverted t waves in the anterolateral leads and often denotes an anterolateral leads and often denotes an acute proximal LAD occlusionacute proximal LAD occlusion

Acute Coronary Syndromes - 400Acute Coronary Syndromes - 400

A 67 year old male whose parents have no A 67 year old male whose parents have no cardiac history; with a personal history of cardiac history; with a personal history of hypertension and current smoking who hypertension and current smoking who takes no medications and presents with takes no medications and presents with severe intermittent crushing chest pain for severe intermittent crushing chest pain for the last two days, no ST changes, and an the last two days, no ST changes, and an troponin of .6 has this TIMI risk scoretroponin of .6 has this TIMI risk score