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3rd Year General Revision > Cardiology > Flashcards

Flashcards in Cardiology Deck (12):
1

Most common congenital heart defect likely to be found in adulthood?

Atrial septal defect

2

Name 2 types of atrial septal defect and which one of these is most common?

Ostium secundum (most common 70%) and
Ostium primum

3

Which ASD is associated with Holt-Oram syndrome (tri-pharyngeal thumbs)?

Ostium secundum

4

Ostium secundum ECG findings?

RBBB and right axis deviation

5

Ostium primum ECG findings?

RBBB and left axis deviation
Prolonged PR interval

6

What other heart defect is ostium primum associated with?

Abnormal AV valves

7

Mortality of atrial septal defects?

Carry a high mortality, 50% patients are dead at 50 years

8

A 25 year old female is found to have a left hemiparesis following a DVT. An ECG shows RBBB with right axis deviation. What is the most likely underlying diagnosis?

Ostium secundum atrial septal defect

9

ECG hyperkalaemia

Tented T waves
QRS gets longer
P waves eventually disappear

10

WiLLiaM MarroW

LBBB - W in lead 1, M in lead 6
RBBB - M in lead 1, W in lead 6

11

A 26 year old has palpitations. ECG shows a shortened PR interval and wide QRS complexes associated with a slurred upstroke seen in lead II. What is this condition and what is the definitive management?

Wolf Parkinson White
Definitive treatment - accessory pathway ablation

(medical treatment - sotalol, amiodarone, flecainide)

Wide QRS complexes with a slurred upstroke - 'delta wave'

12

Following ischaemic heart disease, who should take aspirin?

All patients should take aspirin if there is no contraindication