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Cecil’s Chapter 11
Association Time!
1.
Pericarditis EKG
 Depressed PR, Elevated ST
2.
QRS alternans
 Pericardial effusion (varying QRS amplitude)
3. Pulsus paradoxus
 Cardiac tamponade (acute and severe effusion), CHF, asthma, etc.
 Normal blood pressure changes during inspiration:
i. Systolic: increases in inspiration
ii. Diastolic Decreases
4.
Kussmaul sign
 Constrictive pericarditis, from bacteria
(JVP [diastolic] increase on inspiration)
5.
Square root sign/dip and plateau sign:
 Constrictive pericarditis
6.
Radiation=>
 Efffusive constrictive pericarditis = serofibrinous pericarditis
7.

Treatment for DCM
Vasodilators, B-blockers

Pulsus bisferiens
Hypertrophic cardiomyopathy (initial systolic P rapid upstroke followed by dip)
8.
9.
Crescendo-decrescendo systolic murmur
 Hypertrophic cardiomyopathy
10. Management of HCM
 Septal myectomy or alcohol induced septal ablation