Cardiac

Question 1

Dressler’s syndrome

Answer 1

• Pericarditis typically occuring 2-6 weeks following MI
• Underlying pathophysiology is thought to be an autoimmune reaction against antigenic proteins formed as the myocardium recovers
• Characterised by a combination of
  
  • Fever
  • Pleuritic pain
  • Pericardial effusion
  • Raised ESR
• Treatment - NSAIDs

Question 2

ECG changes and coronary territories

Answer 2

• Anteroseptal
  
  • V1-V4
  • Left anterior descending
• Inferior
  
  • II, III, aVF
  • Right coronary
• Anterolateral
  
  • V4-6, I, aVL
  • Left anterior descending or left circumflex
• Lateral
  
  • I, aVL +/- V5-6
  • Left circumflex
• Posterior
  
  • Tall R waves V1-2
  • Usually left circumflex, also right coronary