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).


-Treatment-glucagon.
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