Easy EKGs
Pick your poison
It's Zebra time
Amazing angios
miscellaneous
Pump it Up
Amazing EP
100
Recommended treatment for this hemodynamically stable 33 years old male with palpitations.
What is IV Procainamide/Ibutilide ?
- Management of A.fib in WPW with contraindications.
100
Excessive amounts of this medication can cause mydriasis, palpitations, urinary retention and hallucination...
What is atropine?
- Atropa belladona plant
- Atropine overdose: HOT as a hare, mad as a hatter, dry as a bone, red as a beet.
100
This unique echocardiographic appearance is associated with this congenital condition.
What is Ebstein's Anomaly
- First detected by Dr. William Ebstein in 1866
- Rare disease, accounts for 0.5% of Congenital HD.
- Maldevelopment of the tricuspid valve.
100
This complication occurred during attempted PCI...
What is Iatrogenic spiral dissection?
100
Intermediate-high risk sub-massive pulmonary embolism constitute a pulmonary embolism with normal blood pressure plus presence of these two findings....
What is presence of RV dysfunction or imaging and increased cardiac biomarkers?
100
This is the name of the change in pulse pressure after an ectopic beat, often seen in patients with HOCM...
What is the Brockenbrough-Braunwald-Morrow sign ?
- Post-PVC increase in the LV contractility (compensatory pause with increase calcium cycling) resulting in large gradient between the left ventricle and ascending aorta.
100
Name what happened to this ICD lead.
What is lead fracture?
- Sudden rise in pacing impedances.
- Other causes: poor connection to device header, exit block, lead-tissues interface issues. Much less likely due to the sudden change and the chronicity of the lead.
200
The most likely clinical situation leading to the following arrhythmia.
What is digoxin toxicity leading to "Bidirectional VT ?"
200
Excessive amounts of this medication can cause atrial tachycardia with AV block, nausea and delirium...
What is digoxin or digitalis?
- Foxglove or digitalis plant
200
Syndrome associated with short stature, bleeding diathesis, pulmonic stenosis and facial features shown below...
What is Noonan syndrome?
Noonan syndrome should be considered in anyone who presents with two or more of the following:
- Characteristics facial features, developmental and/or learning disability, heard defect, pubertal delay and/or infertility, short stature, typical chest deformity, undescended testes, first-degree relative who has noonan syndrome or any of above features.
200
The reason this patient is short of breath...
What is severe mitral regurgitation?
200
After this GFR cutoff, there is reduction in the maximal thiazide diuretic effect...
What is GFR < 30 ml/min ?
200
The graph below, used since 1918 to teach cardiac hemodynamics, is known by this name...
What is Franklin-starling curve?
- Otto Frank and Ernest Starling
- Cardiac performance is related to the filling status of the ventricle.
200
A patient underwent a dual-chamber pacemaker implant now exhibits the following ECG tracing...
What is left ventricular activation? or inadvertent placement of the ventricular lead in the coronary sinus?
ECG sigs of LV activation:
R waves in V1
Q waves in I and aVL
300
Inherited arrhythmia syndrome associated with this ECG
What is CPVT ?
- Intracellular calcium overload associated with CPVT may cause bidirectional VT
300
Excessive amounts of this medication can cause tinnitus, blurred vision, impaired hearing, confusion, headache, abdominal pain and a rash...
What is quinidine or quinine ?
- Cinchona plant
- Cinchonism causes tinnitus/hearing loss, headache/nausea, dizziness/vertigo, visual changes
300
Syndrome associated with the findings below...
What is Holt-Oram syndrome?
- Cardiac defects most frequnetly seen are ASD, VSD, TOF, MVP, PDA, TAPVR
300
The "specific" diagnosis shown in this 70 years old male after emotional distress.
What is Reverse Takotsubo cardiomyopathy ?
300
50 years old woman with heart block and abnormal CXR
What is Cardiac Sarcoidosis ?
- Non caseating granuloma
- Regional wall motion abnormalities/perfusion defects in unusual distribution.
- Heart block
- Sudden cardiac death
300
This type of cardiomyopathy that causes concordant variation of RV and LV pressures with respiration...
What is restrictive cardiomyopathy?
300
The AV block is happening in this location...
What is infra-hisian block (block below the bundle of his)?
- Normal PR interval as opposed to AV nodal level blocks.
- Wide QRS complex at baseline (as opposed to intra-hisian block
- Cardiac pacing indication due to high risk of progression to CHB.
400
Autosomal dominant inheritance pattern and the ECG finding below are characteristic of this condition...
What is ARVC or ARVD ?
- Epsilon wave (delayed ventricular depolarization)
400
Exposure to excessive amount of this metal may cause heart failure, hypotension, cyanosis, pericardial effusion, low voltage on surface ECG tracings and lactic acidosis.
What is Cobalt? CO
- Cobalt prosthesis in hips and joints can slowly cause poisoning with cardiovascular effects.
400
Disease associated with the findings below...
What is Naxos disease ?
- Also known as diffuse palmoplantar keratoderma with woolly hair and arrhythmogenic right ventricular cardiomyopathy.
- It has been associated with mutations in the genes encoding the proteins desmoplakin, plakoglobin, desmocollin-2, and SRC-interacting protein (SIP)
400
Diagnosis shown by LV gram....
What is Ventricular septal defect ?
400
The valve annulus that contains the accessory AV pathway responseive for this ECG tracing...
What is Tricuspid valve or annulus?
400
Calcium sensitizer that can be administered intravenously to treat patients with acutely decompensated congestive heart failure...
what is Levosimendan ?
- At therapeutic dosages, levosimendan enhances myocardial contractility without increasing oxygen requirements and causes coronary and systemic vasodilation.
400
This invasive EP tracing below is consistent with unique type of AV conduction...
What is fasciculoventricular pathway?
- Classic features
* Short HV (pre-excitation)
* Variable AH with fixed HV
600
This rhythm is called...
What is polymorphic VT or Tdp ?
- Prolonged QT
- Medications: antiarrhythmic, antidepressants, antibiotics, electrolytes....