Sudden Death Formative Assessment Flashcards
give 2 reasons why an AD mutation may present in only 1 member of the family
de-novo
mutation is low penetrance and some family members dont know if they have it
if you know the mutation and want to test a family member what genetic testing should be done
PCR - dont need to test the whole genome
Tx familial hypercholesterolaemia
statin
why is brugada syndrome not an MI?
it has a wide QRS, MI doesnt
drugs to avoid in brugada
Na channel blcokers
alpha agonists
calcium channel blockers
Ix brugada syndrome
genetic testing
diagnostic Ix for brugada syndrome
ajmaline testing using ECG
immediate Tx long QT
stop qt prolonging drugs
correct hypomagnesia and hypokalaemia
initiate a beta blocker eg nadolol
eat ++ potassium
Ix for suspected TIA from AF
- ECHO
2. carotid doppler
Tx carotid plaque induced stroke/TIA
antiplatelet eg aspirin
Tx atrial thrombus induced stroke/TIA
anticoagulant eg warfarin or rivaroxaban