arrythmia Flashcards

1
Q

extrinsic causes of sinus bradychardia drugs

A

(β-blockers

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2
Q

extrinsic causes of sinus bradychardia diseases

A

hypothyroidism, hypothermia, cholestatic jaundice,

raised intracranial pressure

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3
Q

intrinsic causes of sinus bradycardia

A

acute ischaemia and infarction of the sinus node

fibrosis of theatrium and sinus node

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4
Q

fibrosis of theatrium and sinus node also known as

A

sick sinus syndrome

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5
Q

how to treat bradycardia

A

pacemaker

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6
Q

acute bradycardia treatment

A

atropine

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7
Q

sick sinus syndrome heart rhythm

A

tachy–brady syndrome

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8
Q

common causes of heart block

A

coronary artery disease, cardiomyopathy, fibrosis of the conducting tissue

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9
Q

location of block in HB

A

AV node or the His bundle

LBBB

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10
Q

describe first degree heart block

A

delayed atrioventricular conduction

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11
Q

how would you see first degree heart block on ECG

A

long PR

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12
Q

first degree heart block treatment

A

not necessary

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13
Q

describe mobitz type one

A

PR interval prolongation until a P wave fails to

conduct, cycle repeats itself

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14
Q

describe mobitz type II block

A

QRS dosent always follow P - ratio

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15
Q

mobitz type II block QRS describe

A

widened

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16
Q

Third-degree AV block describe

A

complete dissociation between atrial and ventricular activity

17
Q

escape rhythm in bundle of his QRS

A

narrow

18
Q

escape rhythm in Purkinje system QRS

A

broad QRS

19
Q

Purkinje system escape rhythm complications

A

dizzy and black out

20
Q

BBB GRS

A

wide QRS

21
Q

RBBB extra wave and why

A

a secondary R wave

22
Q

why do you get an extra R wave in RBBB

A

first the left ventricle and then the right

23
Q

when do you get RBBB

A

pulmonary embolus, right ventricular hypertrophy,

ischaemic heart disease and congenital heart disease

24
Q

congenital heart disease that can lead to RBBB

A

atrial and ventricular septal defect and Fallot’s tetralogy

25
Q

LBBB underlying pathology

A

aortic stenosis, hypertension, severe coronary artery disease

26
Q

SVTs arise from

A

atrium

27
Q

sinus tachycardia diseases

A

fever, pain, anaemia, heart failure, thyrotoxicosis, acute

pulmonary embolism, hypovolaemia

28
Q

sinus tachycardia drugs

A

catecholamines and atropine

29
Q

sinus tachycardia treatment

A

β-blockers and treat cause

30
Q

Atrioventricular junctional tachycardias resul from

A

re-entry circuits

31
Q

what are re-entry circuits

A

two separate pathways for impulse conduction

32
Q

most common type of SVT

A

Atrioventricular nodal re-entry tachycardia

33
Q

explain Atrioventricular nodal re-entry tachycardia

A

‘ring’ of conducting pathway in the AV node, of which the ‘limbs’ have differing conduction times and refractory periods

34
Q

most common AVRT

A

Wolff–Parkinson–White syndrome

35
Q

describe Wolff–Parkinson–White syndrome

A

accessory pathway bundle of Kent between atria and

ventricles

36
Q

symptoms of Atrioventricular junctional tachycardias

A

rapid regular palpitations, usually with abrupt onset and sudden termination. Other symptoms are dizziness, dyspnoea, central chest pain and syncope

37
Q

AF risk

A

stroke

38
Q

Ventricular fibrillation signs

A

pulseless and becomes rapidly unconscious, and respiration ceases

39
Q

Ventricular fibrillation treatment

A

immediate defibrillation