tacchycardia

Question 1

is WPW a narrow/broad tachycardia?

Answer 1

narrow (its occurring in the atria)

Question 2

with a broad complex rhythm, what do you treat it as if you’re in doubt?

Answer 2

VT

Question 3

slurred upstroke of R wave?

Answer 3

delta wave

Question 4

medical management of WPW?

Answer 4

soccer am

amiodarone

Question 5

what is paroxysmal AF

Answer 5

episodic AF, usually lasting less than 48 hours. may be associated with spontaneous resolution

Question 6

persistent AF lasts longer than?

Answer 6

48 hours

Question 7

persistent AF doesn’t respond to ?

Answer 7

conversion therapy

Question 8

man comes back from holiday with irregularly irregular pulse?

Answer 8

holiday heart from alcohol - develop AF

Question 9

investigations of AF?

Answer 9

FBC, U and E, TFT, alcohol level, and possibly troponin

Question 10

management of acute AF

Answer 10

if they are acutely ill or haemodynamically unstable - CARDIOVERSION

Question 11

rate control for AF?

Answer 11

BC or 2nd line D

Question 12

what calcium channel blocker is preferred in AF?

Answer 12

diltiazem

Question 13

rythym control for AF?

Answer 13

1st line is amiodarone and flecanide

2nd line is cardioversion

Question 14

what makes up a chadvas score?

Answer 14

congestive heart failure 
hypertension 
age over 75 
diabetes 
previous stroke, TIA or thromboembolism 
vascular disesase 
age 
sex

Question 15

score of more than what is considered high risk and patient should be started on?

Answer 15

2 - anti coagulation