Arrhythmias

Question 1

What is the management of Wolff-Parkinson White syndrome?

Answer 1

Flecainide and amiodarone

Radio wave ablation of accessory pathway is definitive management

Question 2

What tests should be done before starting amiodarone?

Answer 2

TFTs, LFTs, U&E and CXR

Question 3

What are the components of the CHA2DS2VASc score?

Answer 3

Congestive heart failure (1)
Hypertension (even if controlled well) (1)
Age >75 (2)
Diabetes (1)
Stroke, TIA or thromboembolism history (2)
Vascular disease (1)
Age 65-74 (1)
Sex category female (1)

Question 4

What are the components of the HASBLED score?

Answer 4

Hypertension
Abnormal renal/liver function
Stroke history
Bleeding - prior major bleed or predisposition to bleeding
Labile INR
Elderly (>65)
Drugs predisposing to bleeding or alcohol

Question 5

Give 4 side effects of adenosine

Answer 5

Chest pain
Bronchospasm
Flushing
Enhanced conduction down accessory pathways e.g. WPW syndrome

Question 6

What is the inheritance of Brugada syndrome?

Answer 6

Autosomal dominant with variable penetrance