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Rosh > Mattus Clues > Flashcards

Mattus Clues Flashcards

1
Q

ST elevation or Depression in SVT- normal or not normal?

A

Can be normal and not concerning for ischemia

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2
Q

T wave inversions in V1-V3 or

Elevation in 1/R

A

Pulm embolus

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3
Q

Hyper acute t waves?

A

First thing in myocardial ischemia

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4
Q

Can adenosine cause a fib?

A

Yes

If they have underlying wpw or now a new tachycardia just be prepared to cardioversion

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5
Q

AV node blockers safe in preggos

A

Adenosine
Electricity
Bb and ccb are!

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6
Q

Do you wanna give CCB to a VT patient?

A

No/ adenosine may work if it is antidromic, superfast and looks wide, SVT

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7
Q

V1-V2 elevation mm for men?

A

2 mm

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8
Q

RBBB ischemia changes

A

V1-V2 should have depression so a little elevation/isoelectric is bad!
No other special things- look for elevation and depression

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9
Q

“PVCs” always check for

A

WPW - can be old and can be intermittent conduction

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10
Q

Looks like PVT or VF but there is a regular complex in between the crap, pt has syncope…

A

artifact! myoclonic jerks from syncope can cause this. Pt will be sick with PVT or VF. arrhythmia can cause syncope but syncope can cause myoclonic jerks

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11
Q

Looks like VT but V2 has a saddleback… dont give…

A

Sodium Channel blocker! Brugada is a sodium channelopathy

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12
Q

Flipped T waves in V1-V3 and Inferoior leads..

A

PE

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13
Q

LVH- look at what lead

A

AvL >11

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14
Q

RBBB is…

A

Wide S wave in 1 and V6

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15
Q

Complete heart block- narrow complex, rate 55=

A

CHB + Junctional escape rhythm

Rhythm is coming from the AV node (narrow and Rate 40-60)

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16
Q

Complete heart block and Rate 35 and side

A

CHB plus ventricular rhythm (wide + <40 bpm)

17
Q

What is fusion beat
whatis capture beat
V tach stuff

A

PVC looking QRS- Fusion is a hybrud between SA node and nromal QRS complex and Ventricular paced complex (SA + PVC

Nomral QRS-Capture beat is a nromal beat in between the tachycarrythmia (SA node got a nromal impulse down)

18
Q

RBBB + LAD=

A

Bifasicular block.
RB and LAFB
Just tells you they have a lot damage to the heart

Rosh (14 decks)

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