Cvs

Question 1

What are ecg finding in HCM

Answer 1

Deep dagger Q waves in lateral/ inferior leads
LVH, increase precorial voltages
Left atrial enlargement p mitral
Pre cordial twi

Question 2

Physical finding in HCM

Answer 2

Pulse sharp rising jerky
Jvp prominent a wave
APEx beat double
Auscultation: late systolic ejection murmur left eternal edge, pan systolic murmur from MR, 4th head sound
Louder mumur with valsalva
Softer: squatting, isoelectric exersizrd

Question 3

Causes of TWI in anterior leads

Answer 3

MI
pE
Pericarditis
Arythmogenic rv dysplasia
SAH
Lad stenosis
Brugada
Wellens

Question 4

ECG findings in Wellens

Answer 4

Biphasic or deeply inverted t waves v2-4
Is electric or minimally elevated st segment no precordial Qs

Critical LAD stenosis

Question 5

Brugada syndrome

Answer 5

Coved ST elevation >2mm in more then 1 of the v1-3 followed by negative t waves

Question 6

What is Brugada syndrome

Answer 6

Inherited sodium channelopathy

Question 7

What is epsilon wave in
What is it

Answer 7

Arrhymogenic right ventricular cardiomyopathy
Small positive deflection buried in the terminal QRS

Question 8

Arrhymogenic right ventricular cardiomyopathy what is it

Answer 8

ECG shows epsilon wave - small positive deflection buried in terminal QRS
Autosomal dominant inheritance
Fibrofatty replacement of right myocardium
Ventricular dysarrythmias originating right ventricle

Question 9

Arrhymogenic right ventricular cardiomyopathy management

Answer 9

Activity restriction
Beta blockers to prevent arrhythmia
Implantable defib

Question 10

Pathophysiology of torsades

Answer 10

Long QT