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Thread: cardiology mnemonics

  1. #1
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    Arrow cardiology mnemonics

    Aortic stenosis characteristics
    SAD:
    Syncope
    Angina
    Dyspnoea

    MI:
    basic management BOOMAR:
    Bed rest
    Oxygen
    Opiate
    Monitor
    Anticoagulate
    Reduce clot size



    ECG:
    left vs. right bundle block "WiLLiaM MaRRoW":
    W pattern in V1-V2 and M pattern in V3-V6 is Left bundle block.
    M pattern in V1-V2 and W in V3-V6 is Right bundle block.
    · Note: consider bundle branch blocks when QRS complex is wide.



    Pericarditis:
    causes CARDIAC RIND:
    Collagen vascular disease
    Aortic aneurysm
    Radiation
    Drugs (such as hydralazine)
    Infections
    Acute renal failure
    Cardiac infarction
    Rheumatic fever
    Injury
    Neoplasms
    Dressler's syndrome



    Murmurs:
    systolic types SAPS:
    Systolic
    Aortic
    Pulmonic
    Stenosis
    · Systolic murmurs include aortic and pulmonary stenosis.
    · Similarly, it's common sense that if it is aortic and pulmonary stenosis it could also be mitral and tricusp regurgitation.



    MI:
    signs and symptoms PULSE:
    Persistent chest pains
    Upset stomach
    Lightheadedness
    Shortness of breath
    Excessive sweating


    Heart compensatory mechanisms that 'save' organ blood flow during shock "Heart SAVER":
    Symphatoadrenal system
    Atrial natriuretic factor
    Vasopressin
    Endogenous digitalis-like factor
    Renin-angiotensin-aldosterone system
    · In all 5, system is activated/factor is released



    Murmurs:
    right vs. left loudness "RILE":
    Right sided heart murmurs are louder on Inspiration.
    Left sided heart murmurs are loudest on Expiration.
    · If get confused about which is which, remember LIRE=liar which will be inherently false.

    ST elevation causes in ECG
    ELEVATION:
    Electrolytes
    LBBB
    Early repolarization
    Ventricular hypertrophy
    Aneurysm
    Treatment (eg pericardiocentesis)
    Injury (AMI, contusion)
    Osborne waves (hypothermia)
    Non-occlusive vasospasm
    Beck's triad (cardiac tamponade) 3 D's:
    Distant heart sounds
    Distended jugular veins
    Decreased arterial pressure


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  2. #2
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    No apex beat DOPES
    Dextrocardia (don’t say this first!),
    Obesity,
    Pleural/Pericardial effusion,
    Emphysema,
    Shock.

    3rd Heart Sound FIPPY
    Failure,
    Incompetence (mitral/tricuspid),
    Pregnancy/Pill/PE/Pericarditis,
    Youth

    4th Heart Sound SHIT
    Stenosis (aortic/pulmonary),
    Hypertension/Heart Block,
    Ischaemic HD,
    Tamponade

    Arrhythmias ARHYTHMIAL 4PC
    Atrial Myxoma,
    Rh heart dis,
    HYpertension,
    THyrotoxicosis,
    Mitral valve dis,
    IHD,
    ALcohol
    Pneumonia / PE / Pericardial eff, cardiomyopathy

    Atrial Fibrillation ARITHMATIC
    Alcohol,
    Rh fever,
    IHD,
    Thyrotoxicosis,
    Hypertension,
    Mitral stenosis / MI / Myxoma(atrial)
    ASD,
    Toxins,
    Idiopathic/Infective endocarditis
    Cardiomyopathy/Constrictive pericarditis

    Bradycardia, regular PAD HIM
    Physiological (athlete, sleep) / paroxysmal,
    AV block (2°II, 3°),
    Drugs (β, dig, amiodarone)
    Hypothyroid / hypothermia,
    Icteric (severe),
    MI

    Dominant R wave in V1 WORD
    WPW,
    Old MI,
    RBBB,
    Dextrocardia

    EMD Arrest 4Hs 4Ts
    Hypothermia,
    Hypo & hyper-electrolytes,
    Hypovolaemia,
    Hypoxia
    Toxic (including drugs),
    Trauma,
    Tamponade,
    Tension pneumothorax

    JVP MOP HAIR
    Multiple wave form,
    Occludable,
    Postural changes
    Hepatojugular reflex,
    Above (fills from),
    Impalpable,
    Respiratory changes

    LVF Management FOAM
    Frusemide 40mg iv,
    Oxygen,
    Atrovent (& Ventolin) nebs,
    Morphine 2.5 - 5 mg
    Mitral Stenosis,
    Complications PASTRI
    Pulm ↑BP,
    A fib,
    Systemic embolism,
    Tricuspid regurg,
    Right heart failure,
    Infective endocarditis


    Myocardial infarct, complications ABCDE x2
    Arrhythmias / Aneurysm
    Bradycardia / ↓BP
    Cardiac failure / cardiac tamponade
    Dresslers / Death!
    Embolism / Extra (VSD, pap muscle rupture)

    Pericarditis DRUMSTICX
    Dresslers,
    Rh fever / RA,
    Uraemia,
    MI,
    SLE,
    Trauma,
    Idiopathic,
    Coxsackie,
    X-ray

    Postural Hypotension HANDI
    Hypovolaemia / hypopituitarism,
    Addisons,
    uropathy (autonomic),
    Drugs (vasodilators /
    Idiopathic

    Rheumatic fever:
    Major criteria CASES
    Carditis,
    Arthritis (migratory),
    Subcut nodules,
    Erythema marginatum,
    Syndenhams chorea
    Minor criteria 4PA
    Pyrexia,
    prolonged PR,
    past Hx,
    positive (ie ↑)ESR/CRP,
    Arthralgia

    Occlusive arterial disease 6Ps
    Pain,
    pallor,
    pulseless,
    parasthesia.
    Paralysis,
    perishing with cold

    Splinter haemorrhages TRIP SAM
    Trauma,
    RA,
    Infective Endo,
    PAN
    SLE / Sepsis,
    Anaemia (profound),
    Malignancy (haematological)

    ST elevation ELEVATION
    Electrolytes,
    LBBB,
    Early Repolarization,
    Ventricular hypertrophy,
    Aneurysm,
    Treatment (eg.pericardiocentesis),
    Injury (AMI, contusion),
    Osborne waves (hypothermia),
    Non-occlusive
    vasospasm (prinzmetal’s)

    SVT Causes SNAP
    Sinus tachy,
    Nodal tachy,
    A fib,
    Paroxysmal atrial tachy

    Symptoms of aortic stenosis ASD
    Angina ..2 years
    Syncope ...1 year
    Dyspnoea.... 6/12


    I will add further as i will get more....I will edit If I have repeated some...
    Thank you GOD

  3. #3
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    Treatment of Heart Failure: ABCDE

    Code:
     ACE inhibitors
     Beta-blockers
     Calcium channel blockers
     Diuretics
     Endothelin-converting enzyme inhibitors
    Thanks to Asif Awan.



    Lines of treatment of pulmonary oedema: DOLMA

    Code:
     Digoxin
     Oxygen
     Lasix
     Morfine
     Aminophylline. 
    (Dolma is a very famous food in the middle east.)
    Thanks to Sharaf Karim

    Enjoy!
    be my buddy!

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