Repol Problems

Question 1

Congenital long QT syndromes

Answer 1

Congenital (Romano Ward can hear cloven T, Lange-Jervell-Nelson deaf), Brugada (SCN5A, nocturnal, STelev V12), swimming/exercising, loud sounds/fright

Question 2

Nonspecific T changes V1-V4

Answer 2

Big meal, pain (hyperventilation), standing up

Question 3

Global T inversions

Answer 3

Ischemia, CNS (pointier), HOCM, pericarditis, PE, takotsubo, cocaine, AV block)

Question 4

Pericarditis

Answer 4

Diffuse ST elev (Ts stay up), avR knuckle sign, PR dep

NO RECIP CHANGE ( think MI)

Question 5

Early repol

Answer 5

V4,5 —> J hook, big T >25% S

Question 6

Biphasic T in V123

Answer 6

Wellen’s warning

Question 7

Looks like a U but really it’s a cloven T

Answer 7

Romano Ward

Question 8

JVP INCREASES on inspiration

Answer 8

Kussmaul sign, RV dysfunction

Question 9

Osborne waves

Answer 9

Hypothermia, shivering in limb leads

Question 10

Diffuse, deep, symmetric Ts

Answer 10

Takotsubo, no ST elev

Question 11

ST elev only V1,2

Answer 11

Brugada, defib tx, marcaine can unmask