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General Cardio Tips (Examination (Midline Sternotomy (Metallic click…
General Cardio Tips
Examination
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Features of Pulmonary HTN
↑ JVP
Left parasternal heave
Loud P2 + PSM of TR
Pulsatile hepatomegaly
Ascites and peripheral oedema
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Midline Sternotomy
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Old scar, young pt. Repair of congenital defect
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Nothing
Trauma: tamponade, aortic
IMA CABG
Tissue valve
Viva
Hx
Symptoms: dyspnoea, chest pain, palpitations, syncope
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IE: fever, wt. loss, night sweats
CV Risk: smoking, DM, lipids, HTN, FH
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DH: antiplatelet agents, statins
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Ix
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Blood
- FBC: anaemia exacerbates cardiac symptoms
- U+E: renovascular disease
- NT-proBNP: heart failure
- Fasting lipids and glucose: cardiac risk
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Mx
General
MDT: GP, cardiologist, cardiothoracic surgeon, dietician, specialist nurses
Optimise CV risk: statins, anti-HTN, DM, anti-plat
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