1What drugs can you not give to patients with WPW who are having aFIB?
amiodorone
beta blockers
calcium channel blockers
digoxin
2What is the treatment of choice for WPW?
procainamide or electrical cardioversion
3What are the lateral leads?
I
AVL
V5
V6
4What are the anterior/septal leads?
V1
V2
V3
V4
5What are the inferior leads?
II
III
AVF
6What vessel of the heart correlate with the anterior/septal leads?
LAD
7What vessels of the heart correlate with the inferior leads?
LCX and RCA
8What vessels of the heart correlate with the lateral leads?
branches of LAD and LCX
9What conditions are associated with a LBBB
aortic stenosis
HTN
digoin toxicity
ischemic heart disease
dilated cardiomyopathy
anterior MI
10If a patient has a new LBBB and chest pain what should you do?
thromblysis
11What do you see on EKG for a LBBB?
M shape in lateral leads
deep S wave in leads v1-3
wide QRS complex
12What do you see on EKG for RBBB?
wide QRS complex
M shaped in V1-3
wide slurred s wave in lateral leads
ST depression and T wave inversion
13Which type of MI has the highest risk of mortality?
anterior MI due to the LAD
14What can happen with untreated brugada syndrome?
sudden cardiac death from polymorphic V tach or V fib
15What gene is mutated with brugada?
sodium channel gene SCNSA
16T/F the structure of the heart and QT interval are normal with brugada?
true
17What is the treatment for brugada?
implantable defibrillator
18What will you see on EKG with hyperkalemia?
peaked T waves
flattened p-wave
wide QRS
19What is the criteria for brugada type I?
coved ST segment elevation in V1 (>2 mm)
negative T wave
20What are the symptoms of Wellen's syndrome?
chest pain that resolves with rest
no or mildly elevated cardiac enzymes
21What is associated with Wellen's syndrome?
high risk of anterior MI
22Type A wellen's syndrome on EKG?
biphasic T wave
23Type B Wellen's syndrome on EKG?
inverted T wave
24What causes QT interval prolongation?
medication
hypocalcemia
hyperkalemia
hyomagnesium
25What is a quick way to see on EKG if the QT interval is prolonged?
look at the 2 wave and see if it ends half way between the 2 R waves
26In addition to young healthy athletes when else can you see J point elevation? And what are they called?
hypothermia
osborn waves
27What is the normal axis?
+90 and -30
28What is defined as a LAD?
-30 and -90
29What is the range for indeterminant?
180 and -90
30What is the range for RAD?
+90 and 180
31What is the likely coronary artery responsible for an inferior-posterior-lateral MI?
left circumflex
32What is the likely coronary artery responsible for a anterolateral MI?
LAD