Term
| WPW Syndrome characteristics: |
|
Definition
- short PR interval
- early delta wave just before...
- slurred QRS
All due to early depolarization of the Kent Bundles. |
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Term
| 30% of WPW patient will develop __ __ or _ __ with __ conduction shown by a __ ___ __ and rapid ventricular response. This can lead to __ __. |
|
Definition
- Atrial fibrillation
- Atrial flutter
- antegrade conduction
- narrow QRS
- Ventricular fibrillation |
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Term
| delta waves make you think: |
|
Definition
| Wolf Parkinson White syndrome |
|
|
Term
|
Definition
- no symptoms but delta waves> no tmt
- symptoms (palpitations, light headedness, syncope)> digoxin, CCB, Beta block or catheter ablation |
|
|
Term
| drug options for tmt of WPW: |
|
Definition
- Digoxin
- Calcium channel blockers (Verapimil, Diltiazem)
- Beta blockers |
|
|
Term
| A. fib signs for ugent cardioversion synchronized to R wave: |
|
Definition
- shock
- severe hypotension
- pulmonary edema
- ongoing MI/ischemia |
|
|
Term
| Less urgent tmt of A.fib: |
|
Definition
- Digoxin
- CCB (Diltiazem/Verapamil)
- BB (Metropolol or Esmolol) |
|
|
Term
| Pts with A.fib should be on Warfarin with an INR b/w __ and __. |
|
Definition
|
|
Term
|
Definition
Some Block Potassium Channels:
- Sodium channel blockers:
- IA: DQPlease (Dispyramide, Quinidine, Procainamide)
- IB:safest LMP(Lidocain, Mexilitine, Phenytoin)
- IC: FP (Flecainide, Propafenone)
- Beta-blockers
- Potassium channel blockers (Amiodarone)
- CCB (Diltiazem, Verapimil_
- Other antiarrythmics: Digoxin |
|
|
Term
|
Definition
wide QRS, often lacking p wave
r/o electrolyte abnormalities, hyperthyroidism, occult heart disease
if symptomatic> beta blocker |
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|
Term
| 3 or more consecutive PVCs: |
|
Definition
|
|
Term
|
Definition
- synchronized cardioversion
- 1 mg/kg Lidocaine IV bolus OR Amiodarone 150 mg IV slow bolus over 10 min with slow infustion of 1mg/min for 6 hrs and maintenance of 0.5mg/min for next 18-24 hours |
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|
Term
| Chronic recurrent V. Tach tmt: |
|
Definition
| Implantable Cardiovert-defibrillator device (ICDs) |
|
|
Term
| MCC of Sudden Cardiac Death: |
|
Definition
|
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Term
| Adenosine is used to treat ___ __ while Atropine is used to treat ___. |
|
Definition
- supraventricular tachycardia
- bradycardia |
|
|
Term
|
Definition
| usually greater than 300 atrial contractions/min (no distinct p waves) |
|
|
Term
| First Degree Heart Block: |
|
Definition
| P-R interval greater than 0.20 seconds |
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