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\usepackage{seqsplit}           % Splits long words.
%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
\usepackage[normalem]{ulem}     % For underlining links
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% of cheat sheets but are needed for some symbol support.
\usepackage{amsmath}            % Symbols
\usepackage{MnSymbol}           % Symbols
\usepackage{wasysym}            % Symbols
%\usepackage[english,german,french,spanish,italian]{babel}              % Languages

% Document Info
\author{mrfrk12}
\pdfinfo{
  /Title (cardio.pdf)
  /Creator (Cheatography)
  /Author (mrfrk12)
  /Subject (Cardio Cheat Sheet)
}

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% Header and Footer
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\fancyhead{} % Set header to blank
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\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
    \SetRowColor{DarkBackground}
    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
    }
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\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Cardio Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{mrfrk12} via \textcolor{DarkBackground}{\uline{cheatography.com/22253/cs/4514/}}}
\end{tabulary}
\end{multicols}}

\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}mrfrk12 \\
  \uline{cheatography.com/mrfrk12} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Published 2nd July, 2015.\\
   Updated 11th May, 2016.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}}  \\
  \SetRowColor{white}
  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
\end{tabulary}
\end{multicols}}




\begin{document}
\raggedright
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% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.

\begin{multicols*}{4}

\begin{tabularx}{3.833cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{ACS (Acute Coronary Syndrome)}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{{\bf{Definition}}} \tn 
\mymulticolumn{1}{x{3.833cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Spectrum of problems ranging from unstable angina to MI} \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{{\bf{Symptoms}}} \tn 
\mymulticolumn{1}{x{3.833cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Crushing pain/pressure; radiation to jaw, back, and left arm; SOB, diaphoresis, N/V; impending sense of doom} \tn 
% Row Count 7 (+ 4)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{{\bf{Most common etiology of MI}}} \tn 
\mymulticolumn{1}{x{3.833cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Preexi​sting athero​scl​erotic plaque​ ➔ ​thr​ombus format​ion​ ➔ ​pro​longed myocardial ischem​ia ➔ MI} \tn 
% Row Count 11 (+ 4)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{{\bf{EKG changes}}} \tn 
\mymulticolumn{1}{x{3.833cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Acute MI: progre​ssion from peaked T- wave​s ➔ ST​-de​gment \seqsplit{elevat​ion​/de​pre​ssi​on} ➔ Q​-wa​ve ➔T​-wave inversions (hours​-days)} \tn 
% Row Count 16 (+ 5)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{{\bf{Laboratory Tests}}} \tn 
\mymulticolumn{1}{x{3.833cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}EKG (within 10 min), troponin levels, CK:CK-MB ratio, MRI with gadolinium} \tn 
% Row Count 19 (+ 3)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{{\bf{Stable Angina}}} \tn 
\mymulticolumn{1}{x{3.833cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Reproducible pain, improved with rest, lasts \textless{}10min,} \tn 
% Row Count 22 (+ 3)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{{\bf{UA/NSTEMI}}} \tn 
\mymulticolumn{1}{x{3.833cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Occurs more often with less activity, not relieved with NTG, lasts \textgreater{}10min, EKG changes} \tn 
% Row Count 25 (+ 3)
% Row 7
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{{\bf{STEMI}}} \tn 
\mymulticolumn{1}{x{3.833cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Complete occlusion, EKG changes} \tn 
% Row Count 27 (+ 2)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{{\bf{Initial Treatment}}} \tn 
\mymulticolumn{1}{x{3.833cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}ONAM: Oxygen, +/- nitro, antiplatelets (ASA+P2Y12), morphine (PRN), EKG monitoring, IV access} \tn 
% Row Count 30 (+ 3)
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{3.833cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{ACS (Acute Coronary Syndrome) (cont)}}  \tn
% Row 9
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{{\bf{Discharge Treatment}}} \tn 
\mymulticolumn{1}{x{3.833cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}1) ASA (life) \{\{nl\}\} 2) P2Y12 (1yr) \{\{nl\}\} 3) Statin \{\{nl\}\} 4) {\ss}-blocker \{\{nl\}\} 5) ACE-I \{\{nl\}\} 6) Aldosterone antagonist} \tn 
% Row Count 4 (+ 4)
% Row 10
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{{\bf{Emergency Intervention}}} \tn 
\mymulticolumn{1}{x{3.833cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Door-to-needle within 30min; door-to-balloon within 90min} \tn 
% Row Count 7 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{3.833cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{Congestive Heart Failure (CHF)}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{{\bf{Definition}}} \tn 
\mymulticolumn{1}{x{3.833cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Inability of the heart to keep up the the demands on it and pump blood with normal efficiency} \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{{\bf{Result of one or more of the following}}} \tn 
\mymulticolumn{1}{x{3.833cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Contra​ctile ability of heart muscle, preload and after load of the ventricle, and heart rate} \tn 
% Row Count 7 (+ 4)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{{\bf{Etiology}}} \tn 
\mymulticolumn{1}{x{3.833cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}MI, perica​rdial disorders, valvular disorders, congenital abnorm​ali​ties, and non cardiac causes (high-​output heart failure from thyrot​oxi​cosis or severe anemia)} \tn 
% Row Count 12 (+ 5)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{{\bf{Clinical features of HFrEF/LHF}}} \tn 
\mymulticolumn{1}{x{3.833cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Exertional dyspnea, non-pr​odu​ctive cough, fatigue, orthopnea, PND, basilar rales, gallops, exercise intole​rance} \tn 
% Row Count 16 (+ 4)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{{\bf{Clinical features of HFpEF/RHF}}} \tn 
\mymulticolumn{1}{x{3.833cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Distended neck veins, hepatic conges​tion, nausea, dependent pitting edema, *edema + hepato​megaly, (R-sided failure often caused by L-sided failure)} \tn 
% Row Count 21 (+ 5)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{{\bf{Treatment}}} \tn 
\mymulticolumn{1}{x{3.833cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}1) Loop \{\{nl\}\} 2) ACE-I \{\{nl\}\} 3) {\ss}-blocker \{\{nl\}\} 4) Spironolactone \{\{nl\}\} 5) Hydralazine + ISDN (esp in blacks)} \tn 
% Row Count 25 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{3.833cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{Hypertension}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{{\bf{Primary HTN}}} \tn 
\mymulticolumn{1}{x{3.833cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Causes 95\% of cases of HTN; multif​act​orial pathog​enesis (genetics, salt, obesity, RAAS, NSAIDs, smoking, lack of exercise, metabolic syndrome)} \tn 
% Row Count 5 (+ 5)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{{\bf{Secondary HTN}}} \tn 
\mymulticolumn{1}{x{3.833cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Narrowing of aorta, RAS, chronic steroids, Cushings syndrome, pregnancy, thyroid and parath​yroid disease, primary \seqsplit{hypera​ldo​ste​ronism}, parenc​hymal renal dz)} \tn 
% Row Count 10 (+ 5)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{{\bf{Treatment Goal}}} \tn 
\mymulticolumn{1}{x{3.833cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}All ages with DM or CKD ≤140/90 \{\{nl\}\} Ages \textless{}60yo ≤140/90 \{\{nl\}\} Ages ≥60yo ≤150/90} \tn 
% Row Count 13 (+ 3)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{{\bf{Treatment}}} \tn 
\mymulticolumn{1}{x{3.833cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}First line: ACE-I/ARB, CCB, thiazides \{\{nl\}\} Other: alpha blockers, clonidine, guanfacine, hydralazine, minoxidil,} \tn 
% Row Count 17 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{3.833cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{Ischemic Heart Disease}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{{\bf{Definition}}} \tn 
\mymulticolumn{1}{x{3.833cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Charac​terized by insuff​icient oxygen supply to cardiac muscle} \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{{\bf{Etiology}}} \tn 
\mymulticolumn{1}{x{3.833cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}1) Athe​ros​cle​rotic narrowing (most common). 2) Constr​iction of coronary arteries. 3) (Rare) congen​ital, emboli, arteritis, dissection} \tn 
% Row Count 8 (+ 5)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{{\bf{Risk Factors}}} \tn 
\mymulticolumn{1}{x{3.833cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Metabolic syndrome, male, older age, smoking, FmHx, HTN, DM, low-es​trogen state, abdominal obesity, inacti​vity, dyslip​idemia, EtOH, low fruits​/ve​ggies (cocai​ne ➔ MI)} \tn 
% Row Count 13 (+ 5)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{{\bf{Un/stable Angina}}} \tn 
\mymulticolumn{1}{x{3.833cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}See Above} \tn 
% Row Count 15 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{{\bf{Prinzmetal's (Variant) Angina}}} \tn 
\mymulticolumn{1}{x{3.833cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Caused by vasospasm at rest, exercise capacity preserved. Treated with  CCBs, avoid {\ss}-blockers} \tn 
% Row Count 19 (+ 4)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{3.833cm}}{{\bf{EKG Findings}}} \tn 
\mymulticolumn{1}{x{3.833cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Horizontal or downsl​oping ST-segment depression} \tn 
% Row Count 22 (+ 3)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{3.833cm}}{{\bf{Treatment}}} \tn 
\mymulticolumn{1}{x{3.833cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Lifestyle changes, nitrates (nitro and LA), B-bloc​kers, CCB, Ranola​zine, ASA/Cl​opi​digrel, \seqsplit{revasc​ula​riz​ation}} \tn 
% Row Count 26 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}