Cardiology

Pain due to pericarditis is usually aggravated by thoracic

motion, cough, or deep breathing; it may be relieved by

sitting up and leaning forward

diastolic rumple

for return to normal range is between 36 to 72 hours

CPK-MB's Coz they return normal after 4-5 days but the

Troponins are raised for 4 weeks after 1st MI.

Kussmaul's sign is the observation of a jugular venous

pressure (JVP, the filling of the jugular vein) that rises

with inspiration. It can be seen in some forms of heart

disease.

Ordinarily the JVP falls with inspiration due to

reduced pressure in the expanding thoracic cavity.

Kussmaul's sign suggests impaired filling of the right

ventricle due to either fluid in the pericardial space or a

poorly compliant myocardium or pericardium.

0.2% of the time.

5 times

due to negative intrathoracic pressure and antigravity direction valvesprevent backward flow of blood

Arrhythmias and neurocardiogenic syncope.

byepass surgery

daniel hale williams

6 H's and 6 T's...

hypovolemia

hypothermia

hypoxia

hypo/hyperkalemia

hypoglycemia

hydrogens (acidosis)

trauma

tablets/toxins

thrombosis (MI)

thrombosis (PE)

tension PTX

tamponade

It is the resistance ofeered to the flowing of blood by the

vesselspresent in the Periphery ie the arteriole whose

diameter varies between 100 to 4oo micromillimeter & also by

the smooth muscle of the precapillary sphincter.

Congestive cardiac failure

due to

Ischemic heart disease

Cor pulmonale

Valvular heart disease like mitral stenosis

Congenital heart disease like VSD

Pericarditis and pericardial effusion

85% of PATIENTS having MI show evidence on EKG.

Non Progressive Prolonged PR interval with absent QRS

complex depends on after no of regular P wave.