Cardiology 🫀

Question 1

A 35 years old man presented to ED with central chest pain that radiates to his shoulder and neck. He says the pain increases when he takes deep breath or swallows something. His ECG shows ST elevation in lead 1,avL and V1-V4. Auscultation of the chest reveals a high pitched sound during systole. What is the diagnosis?

Answer 1

Acute Pericarditis

Question 2

ECG finding of Acute pericarditis?

Answer 2

-Widespread ST elevation with upward concavity
-PR interval depression

Question 3

Which change in ecg will lead you to a diagnosis of acute pericarditis?

Answer 3

PR interval depression (specific indicator for acute pericarditis)

Question 4

How will you know when an acute pericarditis has involved the myocardium (myocarditis) too?

Answer 4

T wave inversion in ECG ( with other characteristic ECG findings of acute pericarditis)

Question 5

Signs of left ventricular outflow tract obstruction in a patient with hyperteophic cardiomyopathy-

Answer 5

1) Jerky pulse
2)Mid systolic murmur at the BASE

Question 6

Antiarrhythmic drugs acting on SA node?

Answer 6

ABC
A= Atropine
B= B blockers
C= CCB (Verapamil,Diltiazem)

Question 7

Antiarrhythmic drugs acting on AV node?

Answer 7

ABCD
A=Adenosine ( ade-No-Sine: not on SA node)
B=B blockers
C=CCB (Verapamil, Diltiazem)
D=Digoxin

Question 8

Anti arrhythmic drugs acting on both SA node & AV node?

Answer 8

BC
B= B blockers
C=CCB ( Verapamil, Diltiazem)