PPM

Question 1

SND with symptomatic bradycardia and frequent sinus pauses

Answer 1

Class I

Question 2

SND due to essential long term drug therapy with no alternative

Answer 2

Class I

Question 3

Symptomatic chronotropic incompetence

Answer 3

Class I

Question 4

SND occurring spontaneously due to necessary drug therapy with HR <40 bpm and there are symptoms associated with bradycardia but it’s not documented

Answer 4

Class IIa

Question 5

Minimally symptomatic with chronic HR of <30 bpm while awake

Answer 5

Class IIb

Question 6

Asymptomatic SND where there is a lot and HR <40 bpm and is due to long term drug therapy

Answer 6

Class III

Question 7

Documented SND but not associated with symptoms

Answer 7

Class III

Question 8

Symptomatic SND due to non essential drug therapy

Answer 8

Class III

Question 9

CHB with bradycardia and associated symptoms

Answer 9

Class I

Question 10

CHB due to necessary drugs

Answer 10

Class I

Question 11

CHB associated with asystole >3s or escape rhythm <40 bpm in awake but asymptomatic

Answer 11

Class I

Question 12

CHB after AV ablation

Answer 12

Class I

Question 13

CHB post op not expected to resolve

Answer 13

Class I

Question 14

Neuromuscular disease with AVB such as myotonic muscular dystrophy, Kearns-Sayre syndrome, Erb’s dystrophy, perineal muscular atrophy

Answer 14

Class I

Question 15

2nd degree AVB associated with symptomatic bradycardia

Answer 15

Class I

Question 16

Asymptomatic CHB at > 40 bpm awake

Answer 16

Class IIa

Question 17

Asymptomatic Mobitz II

Answer 17

Class IIa

Question 18

Asymptomatic Mobitz I incidentally found during EP

Answer 18

Class IIa

Question 19

First degree AVB with symptoms suggestive of PPM syndrome + documented symptoms with TPW

Answer 19

Class IIa

Question 20

Marked first degree AVB in patients with LVD and symptoms of HF where shorter AVD provides haemodynamic improvement by decreasing LA filling pressure

Answer 20

Class IIb

Question 21

Asymptomatic first degree AVB, Mobitz I

Answer 21

Class III

Question 22

AVB expected to resolve

Answer 22

Class III

Question 23

Intermittent CHB and Mobitz II with chronic bifascicular and trifascicular block

Answer 23

Class I

Question 24

Chronic bifasicular and trifascicular block with syncope not proved to be due to AVB yet

Answer 24

Class IIa

Question 25

Incidental finding of prolonged HV interval >100ms during EP asymptomatic patient with chronic bi and tri block

Answer 25

Class IIa

Question 26

Incidental finding of non-physiological pacing induced infra-His block during EP with chronic bi and tri block

Answer 26

Class IIa

Question 27

Any IIb for chronic bifascicular and trifasicular block?

Answer 27

No

Question 28

Fasicular block without AVB or symptoms

Answer 28

Class III

Question 29

Fasicular block with first degree without symptoms

Answer 29

Class III

Question 30

Persistent second degree AVB with bilateral BBB or CHB after acute MI

Answer 30

Class I

Question 31

Transient second degree or CHB and associated BBB after acute MI

Answer 31

Class I

Question 32

Persistent or symptomatic second and degree AV block after acute MI

Answer 32

Class I

Question 33

Any IIa for acute MI?

Answer 33

No

Question 34

Persistent second or 3rd° AV block at the AV node level after acute MI

Answer 34

Class IIb

Question 35

Transient AV block in the absence of intraventricular conduction defect after acute MI

Answer 35

Class III

Question 36

Transient AV block in the presence of isolated LAFB after acute MI

Answer 36

Class III

Question 37

Acquired LAFB in the absence of AVB post acute MI

Answer 37

Class III

Question 38

Persistent first degree with BBB that is old post acute MI

Answer 38

Class III

Question 39

Recurrent syncope caused by spontaneously occurring carotid sinus stimulation and carotid sinus pressure that induces ventricular asystole >3s

Answer 39

Class I

Question 40

Syncope without clear events and with a hypersensitive cardioinhibitory response >3s

Answer 40

Class IIb

Question 41

Any IIa for carotid sinus syndrome and neuro cardiogenic syncope?

Answer 41

No

Question 42

Symptomatic neurocardiogenic syncope associated with bradycardia documented spontaneously or during tilt

Answer 42

Class IIb

Question 43

Hyper sensitive cardioinhibitory response to carotid sinus stimulation without symptoms or with vague symptoms

Answer 43

Class III

Question 44

Situational vasovagal syncope

Answer 44

Class III