Sudden Death- Cardiac Flashcards

1
Q

What is long QT syndrome?

A

Torsades de Pointes triggered by adrenaline (stress, sport, shock)

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2
Q

What risk increases with severity of QT prolongation?

A

Sudden death

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3
Q

AD form of long QT syndrome?

A

Romano-Ward syndrome

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4
Q

AR form of long QT syndrome and what additional feature does it have?

A

Deafness

Jervell and Lange-Neilsen Syndrome

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5
Q

Diagnosis of long QT syndrome?

A

QT >480ms on repeat ECG

or genetic mutation known

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6
Q

Management of long QT syndrome?

A
Avoid drugs (antimicrobials, antidepressants, antiemetics, antipsychotics, methadone)
Triggers- strenuous exercise, loud noise
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7
Q

What is short QT syndrome?

A

Mutation in cardiac K channels

QT <300ms

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8
Q

Presentation and treatment of short QT syndrome?

A

Young children

ICD implantation

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9
Q

What does Brugada syndrome cause?

A

ST elevation and RBBB in V1-3

Can become VF/VT

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10
Q

Triggers of Brugada syndrome?

A

Rest/sleep
Fever
Excessive alcohol
Large meals

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11
Q

What is CPVT?

A

Catecholaminergic Polymorphic Ventricular Tachycardia

VT/SVT due to adrenaline

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12
Q

Investigation of CPVT?

A

NORMAL ECG/ECHO

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13
Q

Management of CPVT?

A

Avoid sports, stress etc.
Beta blockers
ICD implantations
Flecainide

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14
Q

Pathophysiology of Wolff-Parkinson White Syndrome?

A

Accessory pathways prevent normal delay in AV conduction

Leads to VF

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15
Q

ECG of Wolff-Parkinson White Syndrome?

A

Short PR interval

Delta wave

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16
Q

Management of Wolff-Parkinson White Syndrome?

A

Ablation of accessory pathways

17
Q

What is ARVC?

A

Arrhythmogenic Right Ventricular Cardiomyopathy

- myocytes replaced with fibro-fatty tissue leading to RE-ENTRY

18
Q

Management of ARVC?

A
Avoid competitive sport
Beta blocker
ICD implantation
Amiodarone
Catheter ablation