#IM2017 Cardiology Pearls

As you’ve probably noticed from our Twitter feed this week, Knowmedge chief editor Dr Sunir Kumar (@DrSunir) has been delivering real-time updates from the American College of Physicians’ Internal Medicine conference, taking place in San Diego from March 28 to April 1, 2017. Using #IM2017, you can view those and other relevant tweets and provide your own dispatches from this year’s gathering.

Review these 18 Cardiology pearls so that you can easily refer to this high-yield content as you get closer to your ABIM exam date later this year.

@knowmedge Dipyridamole and adenosine are contraindicated in pts with bronchospastic disease. #IM2017
— Sunir Kumar (@SunirMD) March 28, 2017

@knowmedge Even if pt can exercise and has LBBB on EKG, exercise stress test is not indicated due to high false positive rates. #IM2017
— Sunir Kumar (@SunirMD) March 28, 2017

@knowmedge Peripartum cardiomyopathy–> 1 month before and 5 months after delivery. Subsequent pregnancies discouraged. #IM2017
— Sunir Kumar (@SunirMD) March 28, 2017

@knowmedge Most common cause of acute mitral regurgitation is chordae tendineae rupture. #IM2017
— Sunir Kumar (@SunirMD) March 28, 2017

@knowmedge Surgery indication for chronic mitral regurg: symptomatic patient or LVEF<55% or LV dilatation >45 mm. #IM2017
— Sunir Kumar (@SunirMD) March 28, 2017

@knowmedge Usually chronic aortic regurgitation can present with wide pulse pressure, not acute aortic regurgitation. #IM2017
— Sunir Kumar (@SunirMD) March 28, 2017

@knowmedge No intra-aortic balloon pump or beta blockers indicated for aortic regurgitation as both will worsen the regurgitation. #IM2017
— Sunir Kumar (@SunirMD) March 28, 2017

@knowmedge SASH mnenmonic f/ aortic stenosis symptoms and surival rate: Stenosis, A-angina (5 years), Syncope (3 yrs), HF (2 years). #IM2017
— Sunir Kumar (@SunirMD) March 28, 2017

@knowmedge Surgical repair for AAA if greater or equal to 5.5 cm, growing greater or equal to 0.5 cm/year, or symptomatic AAA. #IM2017
— Sunir Kumar (@SunirMD) March 28, 2017

@knowmedge Aspirin (not Ticlodipine or Clopidogrel) is recommended for managing PVD. #IM2017
— Sunir Kumar (@SunirMD) March 28, 2017

@knowmedge Only 20% of patients with PVD will present with intermittent claudication. #IM2017
— Sunir Kumar (@SunirMD) March 28, 2017

@knowmedge Indications for ICD: 40 days since MI, 90 days or more if PCI or CABG, or LV function <30%. #IM2017
— Sunir Kumar (@SunirMD) March 28, 2017

@knowmedge Thrombolytic Rx can be used for STEMI, GpIIa/IIIb receptor antagnosists (Eptifibatide or Tirofiban) for NSTEMI. #IM2017
— Sunir Kumar (@SunirMD) March 28, 2017

@knowmedge STEMI will have ST elevation in at least 2 contigious leads. #IM2017
— Sunir Kumar (@SunirMD) March 28, 2017

@knowmedge STEMI: + biomarkers and ST elevation, new LBBB, or posterior MI (tall R waves and ST depression in V1-V3). #IM2017
— Sunir Kumar (@SunirMD) March 28, 2017

@knowmedge Other causes of STEMI: pericarditis, stress cardiomyopathy, normal variant, coronary vasospasm, LV aneurysm. #IM2017
— Sunir Kumar (@SunirMD) March 28, 2017

@knowmedge Main 2 indications for CABG are 3 vessel disease or left main stenosis. #IM2017
— Sunir Kumar (@SunirMD) March 28, 2017

@knowmedge Never give nitrates if pt is taking PDE-5 inhibitors, have severe aortic stenosis, or HOCM. #IM2017
— Sunir Kumar (@SunirMD) March 28, 2017