COMAT Internal Medicine

Page 37

KEY TAKEAWAYS •

The patient with an acute coronary syndrome can have unstable angina, a nonST-segment myocardial infarction, or a transmural, ST-segment elevation myocardial infarction.

The patient with an arrhythmia can be divided into an irregular or regular rhythm with a narrow or wide-complex QRS.

The patient with atrial fibrillation needs anticoagulant therapy in order to prevent thromboembolic disease.

Angina is generally a chronic heart condition that itself is a risk factor for a myocardial infarction.

Dyslipidemia can be primary or secondary but is generally treated the same way, according to the type of dyslipidemia they have.

Peripheral vascular disease leads to claudication and is a marker for more diffuse cardiovascular disease.

Heart failure is divided into those cases with preserved ejection fraction and those with reduced ejection fraction.

Aortic dissection usually involves the ascending aorta and can affect vessels coming off the aorta itself.

Pericarditis is due to a variety of conditions and may include a pericardial effusion that causes cardiac tamponade.

Endocarditis is usually fatal without treatment and involves bacterial or fungal infections of the valves of the heart.

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