PANCE Blueprint Cardiology (13%)

• Dilated
• Hypertrophic
• Restrictive

Conduction disorders/dysrhythmias

• Atrial fibrillation/flutter
• Atrioventricular block
• Bundle branch block
• Paroxysmal supraventricular tachycardia
• Premature Beats
• Sick sinus syndrome
• Sinus arrhythmia
• Torsades de pointes
• Ventricular fibrillation
• Ventricular tachycardia

Congenital heart disease

• Atrial septal defect
• Coarctation of aorta
• Patent ductus arteriosus
• Tetralogy of Fallot
• Ventricular septal defect

Coronary artery disease

• Acute myocardial infarction
  • Non-ST-segment elevation
  • ST-segment elevation
• Angina pectoris
  • Prinzmetal variant
  • Stable
  • Unstable

Heart failure

Hypertension

• Essential hypertension
• Hypertensive emergencies
• Secondary hypertension

Hypotension

• Cardiogenic shock
• Orthostatic hypotension
• Vasovagal hypotension

• Hypercholesterolemia
• Hypertriglyceridemia

Traumatic, infectious, and inflammatory heart conditions

• Acute and subacute bacterial endocarditis
• Acute pericarditis
• Cardiac tamponade
• Pericardial effusion

Valvular disorders

• Aortic (stenosis and regurgitation)
• Mitral (prolapse, stenosis, and regurgitation)
• Pulmonary (stenosis and regurgitation)
• Tricuspid (stenosis and regurgitation)

Vascular disease

• Aortic aneurysm/dissection
• Arterial embolism/thrombosis
• Arteriovenous malformation
• Giant cell arteritis
• Peripheral artery disease
• Phlebitis/thrombophlebitis
• Varicose veins
• Venous insufficiency
• Venous thrombosis

Cardiology Exam

• Dilated
• Hypertrophic
• Restrictive
• Stress

Conduction disorders/dysrhythmias

• Atrial fibrillation
• Atrial flutter
• Atrial tachycardia
• Atrioventricular block
• Bradycardia
• Bundle branch block
• Idioventricular rhythm
• Junctional rhythms
• Premature contractions
• QT prolongation
• Sick sinus syndrome
• Sinus arrhythmia
• Torsades de pointes
• Ventricular fibrillation
• Ventricular tachycardia

Congenital heart disease

• Atrial septal defect
• Coarctation of aorta
• Patent ductus arteriosus
• Patent foramen ovale
• Tetralogy of Fallot
• Transposition of the great vessels
• Ventricular septal defect

Coronary artery disease

• Acute coronary syndrome
  • Angina pectoris
  • Non–ST-segment elevation myocardial infarction
  • ST-segment elevation myocardial infarction
  • Unstable angina
• Atherosclerosis

Heart failure

• Primary hypertension
• Secondary hypertension
• Hypertensive emergencies

Hypotension

• Orthostatic hypotension
• Vasovagal hypotension

Lipid disorders

Shock

• Cardiogenic
• Distributive
• Hypovolemic
• Obstructive

Traumatic, infectious, and inflammatory heart conditions

• Cardiac tamponade
• Infective endocarditis
• Myocarditis
• Pericardial effusion
• Pericarditis

Valvular disorders

• Aortic (stenosis and regurgitation)
• Mitral (prolapse, stenosis, regurgitation)
• Pulmonary (stenosis and regurgitation)
• Tricuspid (stenosis and regurgitation)

Vascular disease

• Aortic aneurysm/dissection
• Arterial embolism/thrombosis
• Arteriovenous malformation
• Deep venous thrombosis
• Giant cell arteritis
• Peripheral artery disease
• Phlebitis/thrombophlebitis
• Varicose veins
• Venous insufficiency

Cardiology Exam

Here is a summary of the new additions/updates to the 2024 PANCE Cardiovascular System Blueprint that will take effect in 2025. We are actively updating Smarty PANCE to account for the upcoming changes.

• Cardiomyopathy now includes a new topic of stress cardiomyopathy
• Under the category of conduction disorders/dysrhythmias
  • Atrial flutter has finally separated from its friend, atrial fibrillation, and become its own topic (Yay, atrial flutter!)
  • New topics include
    • Atrial tachycardia
    • Bradycardia
    • Idioventricular rhythm
    • Junctional rhythms
    • Premature contractions
    • QT prolongation
• Unser congenital heart disease
  • New topic of
    • Patent foramen ovale
    • Transposition of great vessels
• Under coronary artery disease
  • New topic of acute coronary syndrome and atherosclerosis
  • Removed prinzmetal variant and stable angina

• Essential hypertension has been reclassified as primary hypertension
• Cardiogenic shock has been removed from the category of hypotension and given its own category now with four shock subtypes:
  • Cardiogenic
  • Distributive
  • Hypovolemic
  • Obstructive
• Under traumatic, infectious, and inflammatory heart conditions:
  • No longer acute and subacute bacterial endocarditis but now simply infective endocarditis
  • New topic of myocarditis
• Under the category of vascular disease, venous thrombosis is now deep venous thrombosis