Cardiology — Flashcards

Flashcard 321: What is the definitive management of Wolff-Parkinson-White syndrome? _____

Answer: Catheter ablation

Flashcard 322: Wolff Wolff-Parkinson White (WPW) syndrome: Type A: _____-sided accessory pathway, showing a dominant R wave in lead V1 Type B: right-sided accessory pathway, showing a non-dominant R wave in V1

Answer: left

Flashcard 323: What is the recommended pharmacological management for a hemodynamically stable Wolff-Parkinson-White (WPW) syndrome patient with atrial fibrillation? _____ or Ibutilide/Flecainide

Answer: Procainamide

Extra: Procainamide or Ibutilide are preferred for stable patients. *CRITICAL:* Avoid AV nodal blockers (ABCD: Adenosine, Beta-blockers, Calcium channel blockers, Digoxin) because they may enhance conduction through the accessory pathway, potentially leading to Ventricular Fibrillation. Unstable patients require immediate electrical cardioversion.

Flashcard 324: _____ is an autosommal dominant disorder characterised by left ventricular hypertrophy, impaired diastolic filling, & abnormalities of the mitral valve

Answer: Hypertrophic obstructive cardiomyopathy (HOCM)

Flashcard 325: The classic ECG triad of _____ syndrome includes a short PR interval, a delta wave (slurred upstroke of QRS), and a widened QRS complex.

Answer: Wolff-Parkinson-White (WPW)

Flashcard 326: Hypertrophic obstructive cardiomyopathy occurs in around 1 in _____

Answer: 500

Flashcard 327: Hypertrophic obstructive cardiomyopathy presents with _____ on auscultation

Answer: ejection systolic murmur

Flashcard 328: A patient presents complaining of dyspnoea. Physical exam reveals Kussmaul sign and a pericardial knock on heart auscultation. What is the most likely diagnosis? _____

Answer: Constrictive pericarditis

Flashcard 329: Flecainide is contraindicated in _____

Answer: structural heart disease

Flashcard 330: Myocarditis most commonly presents with _____ then chest pain with a recent history of viral illness

Answer: fatigue