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1 PANCE Treatments and Tests of Choice Cardiology:

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1 PANCE Treatments and Tests of Choice Cardiology: Dilated cardiomyopathy treatment: Correct Answer: ACE inhibitors, beta blockers, diuretics , dig, stop offending agent HOCM treatment: Correct Answer: Beta Blockers Defibrillators Dilated Cardiomyopathy test of choice: Correct Answer: ...

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  • July 11, 2022
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  • 2021/2022
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1 PANCE Treatments and Tests
of Choice Cardiology:
Dilated cardiomyopathy treatment: Correct Answer: ACE inhibitors, beta blockers, diuretics , dig, stop
offending agent

HOCM treatment: Correct Answer: Beta Blockers
Defibrillators

Dilated Cardiomyopathy test of choice: Correct Answer: TTEcho (LVH dilation, reduced EF)

HOCM test of choice: Correct Answer: Doppler echo

Restrictive cardiomyopathy test of choice: Correct Answer: Echo

Restrictive cardiomyopathy treatment: Correct Answer: None specific
Symptomatic diuresis, vasodilators

First degree AV block treatment: Correct Answer: None

Second degree AV block/Mobitz 1/wenkebach treatment: Correct Answer: None; Atropine or
Transcutaneous pacing if asymptomatic

Second degree AV block/Mobitz 2 treatment: Correct Answer: Permanent pacemaker

Third degree AV block treatment: Correct Answer: Permanent pacemaker

SVT treatment: Correct Answer: 1. Vagal maneuvers
2. Adenosine
AVN blockers
amiodarone
cardioconversion

Aflutter treatment: Correct Answer: Stable:Vagal, BB,CCB
Unstable: Synchronized Cardioversion

Afib treatment: Correct Answer: Stable: Vagal, BB, CCB
Unstable: Synchronized cardioversion

Aflutter definitive treatment: Correct Answer: Radiofrequency ablation

Stable V tach treatment: Correct Answer: Stable: Procainamide, Lidocaine, Amiodarone

, Vfib treatment in setting of acute ischemia or infarction: Correct Answer: Unsynchronized cardioversion
(defibrillation) + CPR

Vfib treatment if there is no identifiable cause: Correct Answer: Implantable cardioverter defibrillator "

Polymorphic vtach treatment: Correct Answer: Cardiovert/defibrillate if unstable

Torsades de pointes treatment: Correct Answer: Mg

Recurrent vtach with no reversable cause treatment: Correct Answer: Implantable cardiodefibrillator

Sinus Sick Syndrome treatment: Correct Answer: PPM
PPM with AICD if alternating vtac

Bundle Branch Block treatment: Correct Answer: Transcutaneous pacing

Intra-aterial thrombus test of choice: Correct Answer: TEE

Paroxysmal SVT treatment: Correct Answer: Valsalva maneuve, splashing water on face, vasovagal
maneuver
Adenosine (if physical measures fail)

PVC treament (if sx): Correct Answer: BB

PDA test of choice: Correct Answer: Echo

PDA treatment CHF picture: Correct Answer: Diuretics (Furosemide)

PDA treatment: Correct Answer: Indomethacin (premature infants)
Surgical ligation

Tetrology of fallot test of choice: Correct Answer: Echo

Tetrology of fallot treatment: Correct Answer: Prostaglandin E1 to open duct and stabilize-->surgery

"Tet spell" treatment: Correct Answer: BB
Children will often be squatting

Coarctation of the aorta test of choice: Correct Answer: Angiogram

Coarctation of the aorta treatment (infants): Correct Answer: Prostaglandin E1 to open duct and
stabilize-->balloon angioplasty

ASD test of choice: Correct Answer: TEE

ASD treatment (young): Correct Answer: None (50% close spontaneously)
Surgery/patch

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