ECG Quiz from Gulf and Saudi Conference 2013
Collected by Professor Samir Rafla Alexandria University [email protected]
(Attended the conference)
Answer follows each ECG
• WPWs
• Right posterior
• EPS to ablate
• Long QT
• Start BB
• EP study, if sustained V tach. is inducible implant ICD. If not inducible give amiodarone.
• Catecholaminergic arrhythmia. Start Beta blockers and amiodarone.
• ICD in this 13 y boy is second option.
• Short QT with high take off, incomplete RBB.
• Leave him alone, no intervention or drugs.
• Short QT is said to be present if QT is < 360 ms
• Pacemaker induced cardiomyopathy
• Upgrade to CRT
• Brugada syndrome
• ICD is the prober management.
• High take-off (LII), short QT
• ICD is indicated
• Short QT
• Start amiodarone.
• The answer is evident, the lead is broken and induces inappropriate shocks. Immediately magnet is put on the ICD to stop its function till lead is changed.
• ICD Lead fracture is one of the causes of inappropriate shocks. Other causes as pacemaker program misinterpret sinus tachycardia or AF as VT
• Recording from ICD memory prove that there was no VF and the shock was given inappropriately.
• The diagnosis is pericarditis: evidence is diffuse ST elevation, PR depressed.
• Start high dose of aspirin and follow up.
• Brugada syndrome
• ICD is mandatory as he got VF
• Early repolarization.
• No intervention or evaluation.
• Long QT
• Non of the above.
• Arrhythmogenic RV dysplasia, notice the epsilon wave in V1.
• Ablation of arrhythmogenic focus in RV outflow is needed. Recurrence is expected and redo ablation is to be done.
• Extensive anterior MI
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