By Glenn N. Levine

ISBN-10: 0323045251

ISBN-13: 9780323045254

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Additional info for Cardiology Secrets, Third Edition

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Hence, it is common in young adults or patients with a high output state. A venous hum can be heard in 31% to 66% of normal children and 25% of young adults. 3% to 27% of adult outpatients. It is especially common in situations of arteriovenous fistula, being present in 56% to 88% of patients undergoing dialysis and 34% of those between sessions. CHAPTER 1 CARDIOVASCULAR PHYSICAL EXAMINATION 15 19. Which characteristics of the apical impulse should be analyzed? & Location: Normally over the fifth left interspace midclavicular line, which usually (but not always) corresponds to the area just below the nipple.

7. Describe the three types of heart block. 20 seconds. & Second-degree heart block: In Mobitz type I (Wenkebach), the PR interval increases until a P wave is nonconducted (Fig. 3-2). The cycle then resets and starts again. Mobitz type I second-degree heart block is sometimes due to increased vagal tone and is usually a relatively benign finding. In Mobitz type II, the PR interval is fixed and occasional P waves are nonconducted. Mobitz type II second-degree heart block usually indicates structural disease in the atrioventricular (AV) node or His-Purkinje system and is an indication for pacemaker implantation.

56. Systolic wall stress is described by the law of Laplace, which states that systolic wall stress is equal to: (arterial pressure (p)  radius (r)) / 2  thickness (h), or s ¼ (p  r)/2h 57. 7 cm or greater. 58. The seven factors that make up the Thrombolysis in Myocardial Infarction (TIMI) Risk Score are age greater than 65 years; three or more cardiac risk factors; prior catheterization demonstrating CAD; ST-segment deviation; two or more anginal events within 24 hours; aspirin use within 7 days; and elevated cardiac markers.

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Cardiology Secrets, Third Edition by Glenn N. Levine


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