Cardiology 2

Question 1

Long QT 1 syndrome: precipitants?

Answer 1

adrenergic surge due to intense physical activity such as swimming

Question 2

Long QT 2 syndrome: precipitants?

Answer 2

adrenergic surge due to intense emotion such as excitement or fear

Question 3

Long QT 3 syndrome: usually presents as?

Answer 3

Death during sleep

Question 4

2nd line of refractory VT after amiodarone?

Answer 4

Intravenous lidocaine: first as a bolus, followed by an infusion regime over 6.5 hours.

** use with caution in severe left ventricular impairment

Question 5

Management of symptomatic sick sinus syndrome?

Answer 5

AAIR pacemaker:

• sense and pace the atria
• for isolated sinoatrial node disease
• NOT suitable in atrial fibrillation

Or

DDDR pacemaker

Question 6

Recommended pacemaker setting in pure slow AF?

Answer 6

VVI or VVR

• no need to pace atria as they are not functioning

Question 7

Pacemaker for mobitz type II block?

Answer 7

DDD or DDDR

> DDD = record both atrial and ventricular rates and pace either chamber

> DDDR is the same but can adjust the heart rate to account for the need for higher cardiac output.

Question 8

When to offer PCI in stable angina?

Answer 8

ESC guidelines recommend offering revascularisation to patients with stable coronary artery disease and ischaemia in > 10 % of the left ventricle