Cardiovascular

Question 1

Treatment of heart-failure

Answer 1

ABSH + DC

ACEi
Beta-blocker
Spironolactone
Hydralazine
\+
Digoxin
Cardiac resynchronisation therapy

Question 2

Angina

Answer 2

Start with Beta-blocker or CCB
then INR
Ivabradine - 2nd
Nicorandil - 3rd or long-acting nitrates - 1st
Ranolazine - 4th

Question 3

Hypertension with DM

Answer 3

Start with ACEi regardless of age

Question 4

Hypertension

Answer 4

<55 - A, >55 or afra-carribean C
then A+C
then A+C+D (D=indapmide)
then if K+ <4.5 - spironolactone, if K+>4.5 - alpha-blocker or beta-blocker

Question 5

HAS BLED

Answer 5

Hypertension
Abnormal renal and liver function
Stroke
Bleeding
Labile INR
Elderly
Drugs or alcohol

Question 6

Target BP

Answer 6

Below age of 80, <140/90 clinic, < 135/85 mmHg home
Above 80, < 150/90
CKD and hypertension and ACR 70 or more- <130/80 mmHg

Question 7

CHA2 DS2 VAS

Answer 7

Congestive heart failure
Hypertension
Age - 65-74= 1, >75=2
Diabetes
Stroke or TIA 2
Vascular diesease (MI)
Age
Sex