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CARDIOVASCULAR SYSTEM

DILATED CARDIOMYOPATHY:
1. 5HGXFHGFRQWUDFWLRQVWUHQJWKODUJHKHDUW
2. 0RVWFRPPRQFDUGLRP\RSDWK\
3. (WLRORJ\([FHVVDOFRKROSRVWSDUWXPFKHPRWKHUDS\HQGRFULQHGLVRUGHUV
4. 3K\VLFDOH[DP'\VSQHD6JDOORSUDOHVMXJXODUYHQRXVGLVWHQWLRQ
5. 7UHDWPHQW
$EVWDLQIURPDOFRKRO
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TAKOTSUBO:
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2. +HDUWEUHDNKHDUWPDMRUFDWHFKRODPLQHUHOHDVH
3. PDJLQJVWXGLHV%DVHRIOHIWYHQWULFOHLVK\SHUNLQHWLFUHPDLQGHURIKHDUWLVDNLQHWLF
4. 7UHDWPHQW6XSSRUWLYH'LVHDVHLVVHOIOLPLWLQJ

HYPERTROPHIC CARDIOMYOPATHY:
1. +\SHUWURSKLFSRUWLRQRIVHSWXP
2. 3UHVHQWDWLRQ<RXQJDWKOHWHZLWKDSRVLWLYHIDPLO\KLVWRU\KDVVXGGHQGHDWKRUV\QFRSDOHSLVRGH
3. 3K\VLFDO([DP
6XVWDLQHG30ELGSXOVH6JDOORS
0XUPXU+LJKSLWFKHGPLGV\VWROLFPXUPXUDW//6%QFUHDVHGZLWKYDOVDOYDDQGVWDQGLQJ OHVVEORRG
LQFKDPEHU 'HFUHDVHGZLWKVTXDWWLQJ PRUHEORRGLQFKDPEHU
3. 7UHDWPHQW
5HIUDLQIURPYLJRURXVSK\VLFDODFWLYLW\
0HGLFDO%HWDEORFNHUVRUFDOFLXPFKDQQHOEORFNHUV
6XUJLFDO6XUJLFDORUDOFRKRODEODWLRQRIK\SHUWURSKLHGVHSWXPDQGGHEULOODWRULQVHUWLRQ

RESTRICTIVE CARDIOMYOPATHY:
1. (WLRORJ\$P\ORLGRVLVVDUFRLGRVLV
2. 7UHDWPHQW'LXUHWLFV$&(LQKLELWRUV

ATRIAL FIBRILLATION:
1. UUHJXODUO\LUUHJXODU
2. 7UHDWPHQW
5DWH&DOFLXPFKDQQHOEORFNHU GLOWLD]HPYHUDSDPLO RUEHWDEORFNHU PHWRSURORO
5K\WKP
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$QWLFRDJXODWLRQ
'HWHUPLQHQHHGIRUDQWLFRDJXODWLRQE\XVLQJ&+$'6WRDVVHVVULVNRIVWURNH
 &RQJHVWLYHKHDUWIDLOXUHSRLQW

42 PANCE/PANRE Study Guide


CARDIOVASCULAR SYSTEM
 +\SHUWHQVLRQSRLQW
 $JH!SRLQW
 'LDEHWHV0HOOLWXVSRLQW
 6WURNHKLVWRU\SRLQWV
RUPRUHSRLQWV+HSDULQWR&RXPDGLQEULGJH
 15JRDO
SRLQW$VSLULQRU&RXPDGLQ
SRLQWV1RWKHUDS\RU$VSLULQ

ATRIAL FLUTTER:
1. (.*5HJXODUVDZWRRWKSDWWHUQDWULDOUDWH%30QDUURZ456FRPSOH[
2. 2FFDVLRQDOO\RFFXUVLQ&23'FRQJHVWLYHKHDUWIDLOXUHDWULDOVHSWDOGHIHFWFRURQDU\DUWHU\GLVHDVH
3. 6LPLODUWUHDWPHQWDVDWULDOEULOODWLRQ

ATRIOVENTRICULAR BLOCK:
1. VWGHJUHH35LQWHUYDO!VHFRQGV
2. QGGHJUHHW\SHORQJHUORQJHUGURS:HQFNHEDFK
3. QGGHJUHHW\SHVRPHEHDWVGRQWJHWWKURXJK0RELW]W\SH
4. UGGHJUHH3VDQG4VGRQWDJUHH%ORFNLVUGGHJUHH

BUNDLE BRANCH BLOCK


1. 456FRPSOH[!VHFRQGV
2. 0D\EHGXHWR0
3. /HIW5DQG5 XSZDUGEXQQ\HDUV LQ99
4. 5LJKW5DQG5 XSZDUGEXQQ\HDUV LQ99

SUPERVENTRICULAR TACHYCARDIA:
1. +HDUWUDWH%30
2. 7\SHV
3DUR[\VPDO697QRVWUXFWXUDODEQRUPDOLWLHV
$9QRGDOUHHQWUDQWWDFK\FDUGLD
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3. 7UHDWPHQW
9DOVDOYDIRUVWDEOHSDWLHQWV
$GHQRVLQHIRUV\PSWRPDWLFSDWLHQWV
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:3:GRQRWDGPLQLVWHUDGHQRVLQHQRUFDOFLXPFKDQQHOEORFNHUV

PREMATURE BEATS:
1. 3UHPDWXUHDWULDO 3$& DQGYHQWULFXODU 39& FRQWUDFWLRQV
2. Presentation:
7\SLFDOO\EHQLJQ0D\FDXVHSDOSLWDWLRQV
QFUHDVHGIUHTXHQF\ZLWKVWLPXODQWV H&DHLQH

PANCE/PANRE Study Guide 43


CARDIOVASCULAR SYSTEM
3. (.*UUHJXODUEHDWV
39&ZLGHQHG456
3$&DEQRUPDOO\VKDSHG3ZDYH
(YHU\UGEHDWWULJHPLQ\(YHU\RWKHUEHDWELJHPLQ\
4. 7UHDWPHQW1RQHRUEHWDEORFNHUVLIV\PSWRPDWLF

SICK SINUS SYNDROME:


1. 3RSXODWLRQ(OGHUO\
2. 3HULRGVRIEUDG\FDUGLDDQGRUWDFK\FDUGLD
3. 7UHDWPHQW3DFHPDNHU

MULTIFOCAL ATRIAL TACHYCARDIA:


1. (.*UUHJXODUWDFK\FDUGLDQDUURZ456FRPSOH[DEQRUPDOO\VKDSHG3ZDYHVZLWKGLHUHQWPRUSKRORJ\

VENTRICULAR TACHYCARDIA:
1. (.*:LGHFRPSOH[WDFK\FDUGLD
2. 7UHDWPHQW
6WDEOHDPLRGDURQHOLGRFDLQH
8QVWDEOH&35DQGGHEULOODWLRQ

LONG QT SYNDROME:
1. (WLRORJ\&RQJHQLWDORUDFTXLUHG K\SRNDOHPLDPHGLFDWLRQVDQWLDUU\WKPLFVDQWLIXQJDODQWLPDODULDOV. 2.
2. (.*47LQWHUYDO!VHFRQGV
3. 5LVNRIV\QFRSHDQGVXGGHQGHDWK
4. 7UHDWPHQW7UHDWXQGHUO\LQJFDXVHEHWDEORFNHUVIRUFRQJHQLWDOGLVHDVHPSODQWDEOHGHEULOODWRU

BRUGADA SYNDROME:
1. 3RSXODWLRQ$VLDQPHQ
2. 3UHVHQWDWLRQ6\QFRSHYHQWULFXODUEULOODWLRQDQGVXGGHQGHDWK
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4. 7UHDWPHQWPSODQWDEOHGHEULOODWRU

VENTRICULAR FIBRILLATION:
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2. (.*1RGLVFHUQLEOHKHDUWFRQWUDFWLRQV
3. 7UHDWPHQW&35DQGGHEULOODWLRQ $.$QRQV\QFKURQL]HGFDUGLRYHUVLRQ

TORSADES DE POINTES:
1. (.*3RO\PRUSKLFYHQWULFXODUWDFK\FDUGLDWKDWDSSHDUVWREHWZLVWLQJDURXQGDEDVHOLQH
2. (WLRORJ\+\SRNDOHPLDRUK\SRPDJQHVHPLD
3. 7UHDWPHQW90DJQHVLXPVXOIDWH

44 PANCE/PANRE Study Guide


CARDIOVASCULAR SYSTEM
BRADYCARDIA:
1. +HDUWUDWH%30
2. 7UHDWPHQW$WURSLQH

ATRIAL SEPTAL DEFECT:


1. 1RQF\DQRWLF)RUDPHQRYDOHIDLOVWRFORVH2VWLXPVHFRQGXPLVPRVWFRPPRQ
2. 3K\VLFDO([DP:LGH[VSOLW66\VWROLFPXUPXUVHFRQGOHIWLQWHUFRVWDOVVSDFH)DLOXUHWRWKULYH
3. 'LDJQRVLV%HVWGLDJQRVHGE\SDVVLQJFDWKHWHUWKURXJKGHIHFW
4. 7UHDWPHQW
6\PSWRPDWLF'LXUHWLFV$&(LQKLELWRUVGLJR[LQ
'HQLWLYH6XUJLFDOFORVXUH

COARCTATION OF THE AORTA:


1. 1RQF\DQRWLF
2. 3RSXODWLRQ7XUQHUVV\QGURPH
3. 3K\VLFDOH[DP%RXQGLQJSXOVHVDQGHOHYDWHG%3LQXSSHUH[WUHPLWLHV:HDNSXOVHVLQORZHUH[WUHPLWLHV
4. &KHVWUDGLRJUDSK)LJXUHRIVLJQ

PATENT DUCTUS ARTERIOSUS:


1. 1RQF\DQRWLF
2. 3RSXODWLRQ3UHWHUPLQIDQWV
3. 3K\VLFDOH[DP
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4. 7UHDWPHQWQGRPHWKDFLQLISUHWHUP

VENTRICULAR SEPTAL DEFECT:


1. 1RQF\DQRWLF
2. 3UHVHQWDWLRQ9DULDEOHDV\PSWRPDWLFWRV\PSWRPVRIKHDUWIDLOXUH
3. 3K\VLFDOH[DP3DQV\VWROLFPXUPXUDWOHIWVWHUQDOERUGHU
4. 7UHDWPHQW0RVWFORVHE\DJHVXUJHU\LIODUJH

TETRALOGY OF FALLOT:
1. 3XOPRQDU\VWHQRVLV5LJKWYHQWULFXODUK\SHUWURSK\RYHUULGLQJDRUWDYHQWULFXODUVHSWDOGHIHFW
2. 3UHVHQWDWLRQ'LFXOWIHHGLQJIDLOXUHWRWKULYH7HWVSHOOV HSLVRGHVRIF\DQRVLV 
3. 3K\VLFDOH[DP6\VWROLFHMHFWLRQPXUPXUUDGLDWLQJWRWKHEDFN
4. &KHVWUDGLRJUDSK%RRWVKDSHGKHDUW

HEART FAILURE:
1. 3UHVHQWDWLRQ([DPLQDWLRQ
5LJKWVLGHG-XJXODUYHQRXVGLVWHQWLRQHGHPDKHSDWRPHJDO\

PANCE/PANRE Study Guide 45


CARDIOVASCULAR SYSTEM
/HIWVLGHG3DUR[\VPDOQRFWXUQDOG\VSQHD6JDOORSFRXJKRUWKRSQHDUDOHV
2. &KHVWUDGLRJUDSK.HUOH\%OLQHV
3. BNP: elevated
4. 7UHDWPHQW
$FXWH9IXURVHPLGHXSULJKWSRVWXUHQLWURJO\FHULQ
&KURQLF () GLXUHWLF$&(LQKLELWRUVEHWDEORFNHU

METABOLIC SYNDROME:
1. 7ULJO\FHULGHV!
2. +'/IRUPDOHVIRUIHPDOHV
3. %ORRGSUHVVXUH!!
4. )DVWLQJSODVPDJOXFRVH!PJG/
5. :DLVWFLUFXPIHUHQFHIRUPDOHVIRUIHPDOHV

ESSENTIAL HYPERTENSION:
1. 6WDJH[UHDGLQJV
2. 6WDJH[UHDGLQJV
3. 5HVLVWDQWQRWFRQWUROOHGDIWHUPHGLFDWLRQV5HIUDFWRU\QRWFRQWUROOHGDIWHUPHGV
4. 3DWLHQWVXQGHUGLDVWROLFSUHVVXUHEHWWHULQGLFDWRURIKHDUWGLVHDVH2YHUV\VWROLFSUHVVXUH
5. 7UHDWPHQW
Diuretics:
'LVWDOWXEXOH+\GURFKORURWKLD]LGHFKORUWKLDGRQHQGDSDPLGH
 6LGHHHFW+\SRNDOHPLD
/RRS)XURVHPLGH
 2QO\&+)RUUHQDOIDLOXUH
3RWDVVLXPVSDULQJ6SLURQDODFWRQH
 6LGHHHFW*\QHFRPDVWLDK\SHUNDOHPLD
7\SLFDOO\UVWFKRLFH
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$5%V VDUWDQV 
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&DOFLXP&KDQQHOEORFNHUV
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%HWDEORFNHUV
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6(GHFUHDVHG+5EURQFKRVSDVP
&HQWUDODFWLQJ&ORQLGLQH
9DVRGLODWRUV+\GUDOD]LQH

46 PANCE/PANRE Study Guide


CARDIOVASCULAR SYSTEM
6DIHLQSUHJQDQF\0HWK\OGRSDK\GUDOD]LQHODEHWDOROQLIHGLSLQH
*2$/IRUPRVWSDWLHQWV'LDEHWHVRU&.'

SECONDARY HYPERTENSION:
1. 6OHHSDSQHDSKHRFKURPDF\WRPDFRDUFWDWLRQRIWKHDRUWDSDUHQFK\PDOUHQDOGLVHDVHUHQDODUWHU\VWHQR
VLV&XVKLQJV\QGURPHSULPDU\K\SHUDOGRVWHURQLVP &RQQVGLVHDVH
2. 7UHDWXQGHUO\LQJFDXVH

HYPERTENSIVE EMERGENCY:
1. 8VXDOO\!PSHGLQJRUSURJUHVVLQJHQGRUJDQGDPDJH LH(QFHSKDORSDWK\VWURNHSDSLOOHGHPD
SXOPRQDU\HGHPDDRUWLFGLVVHFWLRQUHQDOIDLOXUHHFODPSVLD
2. 7UHDWPHQW9ODEHWDORORUFDOFLXPFKDQQHOEORFNHU GLK\GULS\ULGLQH

HYPERTENSIVE URGENCY:
1. +LJKEORRGSUHVVXUHXVXDOO\ZLWKRXWVLJQVRIHQGRUJDQGDPDJH
2. 7UHDWPHQWRUDODQWLK\SHUWHQVLYH

CARDIOGENIC SHOCK:
1. &RPPRQFDXVHVDFXWH0KHDUWIDLOXUHFDUGLDFWDPSRQDGH
2. 3K\VLFDOH[DP+\SRWHQVLRQ 6%3PPJ ROLJRXULD P/KU F\DQRVLVFRROH[WUHPLWLHVDOWHUHGPHQ
WDOVWDWXVFUDFNOHV
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ORTHOSTATIC HYPOTENSION:
1. PP+JGURSLQV\VWROLF%3PP+JGURSLQGLDVWROLFSUHVVXUH%30LQFUHDVHLQSXOVHZKHQSDWLHQW
PRYHVIURPVXSLQHVLWWLQJWRVWDQGLQJ

ACUTE MYOCARDIAL INFARCTION:


1. /RFDWLRQRIKHDUW
/DWHUDO D9/99 /HIWFLUFXPH[
$QWHULRU 99 /HIWDQWHULRUGHVFHQGLQJ
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$QWHURODWHUDO 999 /HIWPDLQ
3RVWHULRU 9967GHSUHVVLRQ 5LJKWFRURQDU\DUWHU\
QIHULRU D9) 5LJKWFRURQDU\DUWHU\
2. 6HULDOFDUGLDFHQ]\PHV
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7URSRQLQPRVWVSHFLFWHVW
(OHYDWHLQKRXUV
0\RJORELQ(OHYDWHLQKRXUV
&.0%(OHYDWHLQKRXUV

PANCE/PANRE Study Guide 47


CARDIOVASCULAR SYSTEM
3. EKG:
67HOHYDWLRQDFXWHLVFKHPLD
7ZDYHGHSUHVVLRQP\RFDUGLDOLQMXU\
4ZDYHQIDUFW
4. 7UHDWPHQW
VW$VSLULQ
1LWURJO\FHULQ0RUSKLQH%HWDEORFNHU2[\JHQ
3HUFXWDQHRXVFRURQDU\LQWHUYHQWLRQZLWKLQPLQXWHVRUW3$ZLWKLQKRXUV
3DWLHQWVKRXOGDOVRJRKRPHRQ$&(LQKLEWRUV
Cocaine induced MI:
1REHWDEORFNHUV
7UHDWZLWKFDOFLXPFKDQQHOEORFNHU YHUDSDPLO

DRESSLERS SYNDROME:
1. 0\RFDUGLDOLQIDUFWLRQFRPSOLFDWLRQRFFXUVZHHNVSRVW0
2. 3UHVHQWDWLRQ3HULFDUGLWLVIHYHUOHXNRF\WRVLV
3. 7UHDWPHQW$VSLULQ

ANGINA PECTORIS:
1. &KHVWSDLQIURPP\RFDUGLDOLVFKHPLD
6WDEOH5HOLHYHGE\UHVW
8QVWDEOH2FFXUULQJDWUHVW
3ULQ]PHQWDOVYDVRVSDVP3UHVHUYDWLRQRIH[HUFLVHFDSDFLW\
2. 6WUHVVWHVW5HYHUVLEOHZDOOPRWLRQDEQRUPDOLWLHV67GHSUHVVLRQ!PP
3. $QJLRJUDSK\GHQLWLYHGLDJQRVLV
4. 7UHDWPHQW
%HWDEORFNHUVQLWURJO\FHULQ
6HYHUHDQJLRSODVW\DQGE\SDVV

AORTIC ANEURYSM:
1. 3UHVHQWDWLRQ)ODQNSDLQK\SRWHQVLRQSXOVDWLOHDEGRPLQDOPDVV
2. 6FUHHQLQJ8OWUDVRXQGLIPDOH!DQGHYHUDVPRNHU
3. 7UHDWPHQW
6XUJLFDOUHSDLULI!FPRUH[SDQGV!FPSHU\HDU
0RQLWRUDQQXDOO\LI!FP0RQLWRUHYHU\PRQWKVLI!FP
%HWDEORFNHU

AORTIC DISSECTION:
1. 6XGGHQRQVHWWHDULQJFKHVWSDLQEHWZHHQVFDSXODV'LPLQLVKHGSXOVHV
2. &KHVWUDGLRJUDSK:LGHQHGPHGLDVWLQXP
3. 7UHDWPHQW
$VFHQGLQJDRUWD6XUJLFDOHPHUJHQF\
'HVFHQGLQJDRUWD0HGLFDOWKHUDS\ EHWDEORFNHUV XQOHVVFRPSOLFDWLRQVDUHSUHVHQW

48 PANCE/PANRE Study Guide


CARDIOVASCULAR SYSTEM
GIANT CELL ARTERITIS:
1. QDPPDWLRQRIODUJHDQGPHGLXPYHVVHOV
7HPSRUDODUWHULWLVPRVWFRPPRQPDQLIHVWDWLRQ
2. 3UHVHQWDWLRQ+HDGDFKHVFDOSSDLQMDZSDLQYLVXDOFKDQJHVDQGQRGXODUWHQGHUWHPSRUDODUWHU\
$VVRFLDWHGZLWKSRO\P\DOJLDUKHXPDWLFD
3. 'HQLWLYHGLDJQRVLV7HPSRUDODUWHU\ELRSV\
4. 7UHDWPHQW+LJKGRVHSUHGQLVRQHGRXUJHQWO\WRSUHYHQWEOLQGQHVV 'RQRWZDLWIRUELRSV\UHVXOWV

PERIPHERAL ARTERY DISEASE:


1. Presentation:
1RKDLUEULWWOHQDLOVSDOORUORZHUH[WUHPLW\SDLQK\SRWKHUPLD
8OFHUVDUHSDOHWREODFNZHOOFLUFXPVFULEHGDQGSDLQIXOORFDWHGODWHUDOO\DQGGLVWDOO\
2. 'LDJQRVLV
$UWHULRJUDPLVJROGVWDQGDUG
$QNOHEUDFKLDOLQGH[
3. 7UHDWPHQW
'HQLWLYHWUHDWPHQW$UWHULDOE\SDVV
0HGLFDOWUHDWPHQW$VSLULQ&LORVWD]RO
4. ([WUHPLW\RFFOXVLRQ3VSDLQSDOORUSXOVHOHVVQHVVSDUHVWKHVLDVSRLNLORWKHUPLDSDUDO\VLV

VARICOSE VEINS:
1. Presentation:
/RZHUH[WUHPLW\SDLQDIWHUVLWWLQJVWDQGLQJ
Dilated tortuous veins
2. 7UHDWPHQW&RPSUHVVLRQVWRFNLQJV

VENOUS INSUFFICIENCY:
1. Presentation:
(GHPDDWURSKLFVKLQ\VNLQEUDZQ\LQGXUDWLRQ9DULFRVLWLHV
8OFHUVDERYHPHGLDOPDOOHROXV
2. 7UHDWPHQW6FOHURWKHUDS\YHLQVWULSSLQJFRPSUHVVLRQKRVH

VENOUS THROMBOSIS:
1. 3K\VLFDOH[DP+RPDQVVLJQORZHUH[WUHPLW\VZHOOLQJ
2. 5LVNIDFWRUV
9LUFKRZVWULDGVWDVLVYDVFXODULQMXU\K\SHUFRDJXODEOHVWDWH 2&3FDQFHUVXUJHU\IDFWRU9/HLGHQ
DLUWUDYHO
3. 'LDJQRVLV'XSOH[XOWUDVRXQG
4. 7UHDWPHQW+HSDULQWR&RXPDGLQEULGJH

PANCE/PANRE Study Guide 49


CARDIOVASCULAR SYSTEM
SUPERFICIAL THROMBOPHLEBITIS:
1. (WLRORJ\6SRQWDQHRXVRUDIWHUWUDXPDRU93&&OLQHV
2. 3UHVHQWDWLRQ'XOOSDLQHU\WKHPDLQGXUDWLRQRIYHLQ
3. 7UHDWPHQW6\PSWRPDWLF16$'VEHGUHVWZDUPFRPSUHVVFRPSUHVVLRQKRVH

SYSTOLIC MURMURS:
Aortic Stenosis:
3RSXODWLRQ(OGHUO\ELFXVSLGYDOYH
3K\VLFDOH[DP&UHVFHQGR'HFUHVHQGRPLGV\VWROLFHMHFWLRQPXUPXU5DGLDWHVWRFDURWLGV3DUD
GR[LFDOVSOLWWLQJ
0LWUDO5HJXUJLWDWLRQ
3RSXODWLRQ5KHXPDWLFIHYHUQHZPXUPXUDIWHU0 SDSLOODU\PXVFOHUXSWXUH HQGRFDUGLWLV
3K\VLFDOH[DP+RORV\VWROLFKLJKSLWFKHGEORZLQJPXUPXUDWDSH[WKDWUDGLDWHVWRD[LOOD
7UHDWPHQW
 $FXWH9DIWHUORDGUHGXFHUVQLWURSUXVVLGH
 &KURQLF$&(LQKLELWRUVK\GUDOD]LQH
 'HQLWLYH9DOYXORSODVW\
0LWUDO9DOYH3URODSVH
3RSXODWLRQ)HPDOHRUSRVW0
3K\VLFDOH[DP0LGV\VWROLFFOLFNDXGLEOHVHDWHGRUVXSLQH
7ULFXVSLG5HJXUJLWDWLRQ
3K\VLFDOH[DP+RORV\VWROLFPXUPXUDWORZHUOHIWVWHUQDOERUGHUWKDWUDGLDWHVWRVWHUQXP
3XOPRQDU\6WHQRVLV
3RSXODWLRQ&RQJHQLWDO
3K\VLFDOH[DP(MHFWLRQPXUPXUDWSXOPRQLFDUHDWKDWUDGLDWHVWROHIWQHFN

DIASTOLIC MURMURS:
$RUWLF5HJXUJLWDWLRQ
3RSOXDWLRQ5KHXPDWLFKHDUWHQGRFDUGLWLV0DUIDQ
3K\VLFDOH[DP
 (DUO\GLDVWROLFEORZLQJPXUPXU
 $XVWLQ)OLQWPXUPXPU ORZUXPEOLQJDWDSH[DVEORRGKLWV
 4XLQFNHVSXOVH VXEXQJXDOFDSLOODU\SXOVDWLRQ &RUULJDQ UDSLGULVHDQGIDOORIFDURWLGSXOVH 
 /DWHUDOO\GLVSODFHG30
7UHDWPHQW1LIHGHSLQHRUDPORGLSLQH9DOYHUHSODFHPHQWLIV\PSWRPDWLFRULI()LVEHORZ
Mitral Stenosis:
3RSXODWLRQ5KHXPDWLFIHYHU
3K\VLFDOH[DP/RZIUHTXHQF\GLDVWROLFUXPEOHORFDWGDWDSH[
3XOPRQDU\5HJXUJLWDWLRQ
3RSXODWLRQ3XOPRQDU\K\SHUWHQVLRQHQGRFDUGLWLV
3K\VLFDOH[DP(DUO\GLDVWROLFEORZLQJPXUPXU
7ULFXVSLG6WHQRVLV
5DUHO\VHHQZLWKRXWPLWUDOVWHQRVLV
3K\VLFDOH[DP'LDVWROLFUXPEOH

50 PANCE/PANRE Study Guide


CARDIOVASCULAR SYSTEM
PROSTHETIC VALVE:
1. :DUIDULQWUHDWPHQW
15*RDO
2. 7UHDWRYHUGRVHZLWK9LWDPLQ.

INFECTIVE ENDOCARDITIS:
1. Dukes Criteria:
0DMRU
%ORRGFXOWXUHV6DXUHXV6YLULGLQV6ERYLVRURWKHUW\SLFDOVSHFLHVWLPHVKRXUVDSDUW
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PANCE/PANRE Study Guide 51


CARDIOVASCULAR SYSTEM
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52 PANCE/PANRE Study Guide

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