You Got My Heart Racing
You're Killin Me
ACS
Potpourri
100
A 41yo male presents with palpitations. Rhythm?
What is sinus tachycardia
100
First line treatment for this patient
IV magnesium (Torsades)
100
Name the affected heart surface(s) and artery involved.
What is anteroseptal (LAD)
100
Medications to avoid in this patient.
QT prolonging agents- QT >500ms
200
A 35-year-old man presents with palpitations. He has been drinking heavily with friends over the weekend. His EKG below.
What is Afib. Holiday heart syndrome
200
65yo M with PMH HTN, HLD, depression. Rhythm and treatment.
-Beta blocker overdose causing junctional bradycardia (narrow QRS, no p-waves).
200
An example of ST-elevation equivalent showing on EKG as Tall R waves and ST depressions in V1-V3?
What is Posterior MI? Another STEMI equivalent is LBBB
200
21 year-old male with palpitations and near syncope.
WPW- short PR, delta wave, wide QRS
300
45year old with palpitations and this EKG
what is atrial flutter (sawtooth appearance at baseline)
300
Finding shown in this EKG and one cause
Bidirectional VT- digoxin
*aconite (chinese herbal supplement)
300
To discern MI in this patient and one other.
What is Sgarbossa's Criteria (pts with LBBB or V-paced)
300
Etiologies of wide QRS (name 4)
1. Paced rhythm
2. Vtach/PVCs
3. Bundle branch block
4. Electrolyte abnormalities
5. Drug toxicities (CCB, TCA)
400
COPD patient with fevers and increased sputum production
What is MAT (multifocal atrial tachycardia)
400
18 year old found unconscious at home, found with dilated pupils and GCS of 10. A pill she took could cause
this
What is tricyclic antidepressant overdose? Widened QRS and lengthening of the QT interval due to blockade sodium channels.
400
50yo M with no chest pain, hstrop 8. Next step.
Wellens Syndrome! Biphasic or deeply inverted T-waves in V2-V3
-Highly specific for critical proximal LAD stenosis!
-Refer for cath intervention
-DO NOT STRESS THEM
400
Early January found in his basement. Diagnosis
What is hypothermia? Osbourne J-wave can also be seen in subarachnoid hemorrhage and hypercalcemia.
500
63-year-old woman with a history of rapid palpitations seen on multiple occasions in the emergency department.
AVNRT- pseudo "S" wave in II, pseudo "R" wave in aVR
500
Name and pathophysiology of this presentation
What is sodium channelopathy? Brugada syndrome autosomal dominant inheritance with cardiac sodium channel encoding gene SCN5A
500
Lead criteria for STEMI diagnosis (hint: depends on age and gender)
500
47-yr-old, asymptomatic woman with the following ECG finding, reportedly present since birth. (must name both)
1. complete heart block
2. junctional escape rhythm