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Mayo Clinic – Arrhythmia Exam | Questions And Answers Latest {2024- 2025} A+ Graded| 100% Verified
VT
Scar based VT: tx? - 1. Amio/Sotalol/Dofetilide
2. ICD/Ablation/Neuraxial blockade
In what kind of VT is an ICD contraindicated? - Idiopathic VT.
Idiopathic VT: tx? - BB/CCB/Anti-Arrhythmics/ADO
Name the Dx: QT prolongation-Torsades; Triggered (EAD). - Polymorphic VT/VF
Name the dx: structural heart disease + re-entry + bundle branch reentry? - Scar Based-VT.
Name the dx: RBBB/LAFB + Verapamil sensitive (+relatively narrow)? - Fasicular VT.
Name the dx: Triggered DAD (OT) + Abnormal Automaticity (papillary muscle) + symptoms +
tachycardia-induced CMP? - Idiopathic VT.
Dx:
LBBB morphology + TWI in V1-V3
+/- Epsilon Waves. - ARVC.
In what condition does exercise worsen progression? - ARVC.
ARVC: what is the mutation? - Desmosome protein mutation.
Dx: RBBB + LAFB. Re-entry. Verapamil sens. Ado sensitive. - Fasicular VT.
, Dx: Left axis + RB? - Fasicular VT.
Idiopathic VT is suppressed by? - BB
CCB
Adenosine
Dx: Inferior axis + LBBB in ectopy? - RVOT VT
Which ventricular arrhythmia:
"Loss of function in the KCNQ1-encoded IKs potassium channel?" - Long QT Syndrome/LQTS.
What voltage-gated channel is caused by Congenital LQTS? - Voltage-gated potassium channels.
What is the MEDICATION used to tx Brugada? - Quinidine.
Primary Prevention ICD in LQTS? - 1. QTS > 550 ms and not LQT1
2. LQT2 women, QTc > 500 ms +/- Sx
3. Infants with 2:1 AV block?
4. JLNS (LQTS with deafness)?
Is an ICD always indicated in LQTS? - No.
When is an ICD indicated in LQTS? - Aborted cardiac arrest.
Rx intolerance or breakthrough.
Screening in LQTS? - Mutation-specific gene testing is recommended for family members and other
appropriate relatives subsequently following identification of LQTS-causative mutation in an index case.
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