Arrhythmias + Cardiomyopathy Flashcards
What are the two classes of arrhythmias?
Supraventricular
Ventricular
What are ectopic beats?
Beats/rhythms that originate outwith the SA node
Triggered activity is caused by?
Afterdepolarisations
EADS + DADs are associated with which phases and speed of HR?
EADs (phase 2/3 and slow) DADs (phase 4 and fast)
Re-entry circuits are formed by … and can cause what 2 things?
Fibrous rings and heart block or arrhythmia
List the investigations you would do for arrythmias?
ECG/exercise ECG/24hr ECG
CXR
Echocardiogram
EP study (induce arrhythmia)
How would acute AVRNT and AVRT be managed?
Vagal manoeuvres (vasalva), carotid massage
IV adenosine
IV verapamil
WPW is an examples of a + ECG sign?
AVRT + delta wave
What is the treatment of choice for managing chronic arrhythmias?
Radiofrequency ablation
Which drugs must be stopped before radiofrequency ablation?
Antiarrhythmic drugs 3-5 days beforehand
What is notorious for causing AV block in young people?
Cytomegalovirus
Describe 1st degree AV block
PR > 0.2 seconds
Describe 2nd degree Mobitz 1 AV block
PR lengthens until a QRS is dropped
Describe 2nd degree Mobitz 2 AV block
2:1 or 3:1 P waves conduct
Describe 3rd degree AV block
P waves without QRS complexes
What 2 heart blocks needs pacing + drug that can be used for heart block?
Mobitz II and 3rd degree + atropine
What is the difference between monomorphic and polymorphic VT?
QRS complex looks similar in monomorphic VT
How would acute VT be treated?
DC cardioversion if unstable
IV Adenosine if unsure