misc Flashcards
where does atrial myxoma occur
left atrium - attcahed to fossa ovalis
who is myxoma most common in
females
presentation myxoma
systemic unwell // clubbing // a fib // mid diastiluc murmur
invx myxoma
echo
inheritence of brugada syndrome
autosomal dominant
who is brugada syndrome most common in
asians
ECG for brugada syndrome
ST elevation > 2mm in V1-3 followed by negative T wave // RBBB
what drug can be given to exaggerate ECG findings for brugada syndrome for diagnosis
flecainide or ajmaline
mx brugada syndrome
implantable defib
what is tamponade
accumulation of pericardial fluid under pressure
triad of tamponade
becks: hypotension + raised JVP + muffled heart sounds
other features tamponade
dyspnoea + tachy // pulsus parodox // absent Y JVP
what is seen on ECG of tamponade
electrical alternans (alternating aplitude of Q wave)
TAMponade = TAMpaX
tamponade = X JVP (only)
mx tamponade
urgent pericardiocentesis
