Test

Question 1

How do anti arrhythmic drugs work?

Answer 1

By changing the properties of the action potentials enough to make arrhythmia a unsustainable

Question 2

The primary vector of the heart is….

Answer 2

Down and to the Left

Question 3

RBBB / LBBB

Answer 3

+ V1
- V6

• V1
  +V6

Question 4

LAO

Answer 4

Clock Faces

Smiling CS Cath

Question 5

What are the standard catheters for an SVT Ablation?

Answer 5

HRA
CS
HIS
RVA

Question 6

Which arrhythmia is normally associated with a duo-decapolar catheter?

Answer 6

A flutter

Question 7

Describe a standard EPS.

Answer 7

Baseline intervals (assumes sinus)
SNRT - burst for 30-60sec, stop and measure the return rate
IAP- Wenckebach and 2:1 AVB
IVP- Wenckebach and 2:1 AVB
AEP
 AVNERP - A no H no V
 AERP - no A
 AH JUMP - >50ms AH w/ 10ms decrement (demonstrates dual nodal) 
VEP
  V no A
VERP 
  NO V

Question 8

What maneuvers are typically used to induce ?

Answer 8

IAP / BURST

Question 9

Can tissue support an arrhythmia faster than its ERP?

Answer 9

No

Question 10

Is Atrial Flutter a macro or micro Reentrant?

Answer 10

Macro

Question 11

What is the slow pathway in the AF circuit?

Answer 11

CTI LINE

Question 12

What three landmarks define the Triangle of Koch?

Answer 12

CSos
Tendon of Torado
Septal a leaflet of the TV

Question 13

What catheters are commonly used in an AFL ablation case?

Answer 13

CS, DUODECA, ABLATION

Question 14

Confirm the activation sequence with entrainment.

Answer 14

1. Find TCL
2. Pace Faster
3. Confirm capture and speeding up
4. Stop pacing
5. PPI / PPI - TCL =

Question 15

For a flutter, PPI-TCL= x where x is less than 30ms…

Answer 15

Inside the circuit

Question 16

Which mineral gives the AVN its decremental properties?

Answer 16

Calcium