Cardiology

Question 1

Indications for icd in HOCM

Answer 1

Recurrent VT, FHx of sudden cardiac death, massive LVH>30mm, left vent apical asymmetry, extensive late gad enhancement

Question 2

Palmar xanthoma is pathognomonic of?

Answer 2

Type 3 familial dyslipidaemia - dysbetalipoproteinaemia which usually shows cholesterol and TG elevation and causes atherosclerosis

Question 3

Eruptive vs tendinous xanthoma is indicative of?

Answer 3

Eruptive - high TG, tendinous - high cholesterol

Question 4

Indications of CRTD

Answer 4

1. Sinus rhythm
2. Heart failure despite optimal medical treatment for at least 3 months (lvef<35%)
3. QRS > 150ms, can consider in >120ms
4. LBBB morphology
5. NYHA class 3 or 4

Question 5

Indications for ICD

Answer 5

For ischaemic cardiomyopathy
1. LVEF < 30% with NYHA 1 or LVEF <35% with NYHA 2 or 3
2. >40 days post MI
3. >90 days post revascularisation

Or

Stable VT
Cardiac arrest secondary to VT or VF
Unexplained syncope with inducible VT