eBook - ePub
Concise Cardiac Disease Board Review
Concise Cardiac Disease Board Review
- English
- ePUB (mobile friendly)
- Available on iOS & Android
eBook - ePub
Concise Cardiac Disease Board Review
Concise Cardiac Disease Board Review
About this book
A study guide for practicing cardiologists preparing for ABIM recertification as well as fellows preparing for initial certification.
- Complements in-depth texts by summarizing the key facts necessary for success with an emphasis on ACC/AHA guideline recommendations.
- Maximizes your study time by focusing exclusively on high-yield material explicitly geared for the ABIM Cardiovascular Disease Exam.
"Dr. Sawyer's text is the perfect complement to a review course. Rather than furiously taking notes, you can instead focus on the material because the notes are here."
- Marko Yakovlevitch, MD
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Please note we cannot support devices running on iOS 13 and Android 7 or earlier. Learn more about using the app.
Yes, you can access Concise Cardiac Disease Board Review by Dr. Thomas J. Sawyer Thomas J. Sawyer in PDF and/or ePUB format, as well as other popular books in Medicine & Cardiology. We have over one million books available in our catalogue for you to explore.
Information
CHAPTER 1
ACUTE CORONARY SYNDROME
ANTIPLATELET/ANTICOAGULANT STRATEGIES
All patients receive aspirin, P2Y12 inhibitor, and anticoagulant
●Plavix 300–600 mg load / 75 mg daily
●Ticagrelor 180 mg load / 90 mg bid
•ASA maintenance dose should be no greater than 81 mg daily with ticagrelor
●Prasugrel 60 mg load / 10 mg bid
•Only given in the cath lab after decision made for PCI
•Contraindicated age > 75 or Hx CVA / TIA
●Heparin 60–80 U/kg bolus / 18 U/kg gtt goal aPTT 50–70
●Enoxaparin 1 mg/kg
●Bivalirudin
●Only used for patients not pretreated with P2Y12 inhibitor
●Eptifibatide 180 mcg/kg IV bolus over 1–2 min / 2 mcg/kg/min gtt
UA/NSTEMI—INVASIVE VS. CONSERVATIVE APPROACH
●Age > 65
●3+ cardiac RFs
•Family history of premature CAD
⚬< 55-year-old male / < 65-year-old female
•HTN
•Hyperlipidemia
•DM
•Tobacco abuse
●Known CAD (any lesion > 50%)
●ASA use in the last 7 days
●2 or more anginal episodes in preceding 24 hours
●ST segment deviation
●Elevated troponin
●≥ 3 = high risk
•Invasive strategy preferred (cath 4–24 hours after admission)
●0–2 = low risk
•Consider conservative management
●Coronary angiography should be 4–24 hours after admission → no difference in outcomes first 24 hours
●NOTE: Only difference in anticoagulation / antiplatelet strategy between invasive and conservative strategy is that prasugrel and bivalirudin are not indicated for a conservative approach
●Fondaparinux can be used as an anticoagulant (contraindicated for invasive strategy due to increased risk of catheter thrombosis)
●Duration of therapy in conservative strategy
•Heparin × 48 hours
•2B/3A inhibitor × 48 hours
•Enoxaparin / fondaparinux used duration of hospit...
Table of contents
- Cover
- Title Page
- Copyright
- Dedication
- Table of Contents
- PREFACE
- 1 Acute Coronary Syndrome
- 2 Chronic CAD
- 3 Acute CHF
- 4 Chronic CHF
- 5 Hypertrophic Cardiomyopathy
- 6 Cardiac Channelopathies
- 7 Supraventricular Arrhythmias
- 8 Ventricular Arrhythmias and Defibrillators
- 9 Bradycardia / Pacemakers
- 10 Valvular Heart Disease
- 11 Endocarditis
- 12 Hypertension
- 13 Syncope
- 14 Vascular Disease
- 15 Diseases of the Aorta
- 16 Heart Disease in Women and Pregnancy
- 17 Adult Congenital Heart Disease - Simple Lesions
- 18 Adult Congenital Heart Disease - Complex Lesions
- 19 Pulmonary Hypertension
- 20 Restriction / Constriction / Tamponade
- 21 Perioperative Cardiovascular Evaluation and Management
- 22 Essential Cardiovascular Manifestations and Care of Rheumatologic Diseases
- 23 Cardiac Manifestations of Endocrine Disease
- 24 Hyperlipidemia
- 25 Cardiac Tumors
- 26 Therapeutic Hypothermia
- 27 Biostatistics and Essential Calculations / Values
- 28 Physical Exam Essentials
- 29 Pharmacology Essentials