Procainamide
Verapamil
Digoxin
Propranolol
Dialtiazem
CD shock
Digoxin
Amiodarone
Half life is hours
Metabolized in liver
Effective in ventricular arrhythmia
Common in acute MI
Ventricular rate = atrial rate
Atrial rate 300 bpm, ventricular 150 bpm
DOC is amiodarone
Digoxin IV reduces paroxysmal SVT rate
Disopyramide
Amiodarone
Diltiazem
Verapamil
Tremolol
Loud S1
Loud murmur
None of the above
Prominence a wave
Pulsatile liver
Left parasternal heave
Pan-systolic murmur
Right atrial enlargement
MS
MR
TR
AR
AS
S3 gallop
s4 gallop
Left atrial enlargement
Left ventricular enlargement
Heave apical pulse
Do mitral valve replacement
Check & follow up every year
Medical treatment
Mid systolic click.
Pansystolic murmuer.
Late systolic murmur.
Atypical chest pain.
Concentric left ventricular Hypertrophy.
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