Brugada/Wellens' Syndrome AOM
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1. Default Section
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1
. Badge Number
Badge Number
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2
. What are the characteristic EKG findings in Brugada Syndrome?
What are the characteristic EKG findings in Brugada Syndrome?
Third degree AV-block with bradycardic escape rhythm
LBBB with discordant ST elevation
Normal sinus rhythm with multiple PVCs
RBBB with ST-segment elevation
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. What is the pathophysiology responsible for Brugada Syndrome?
What is the pathophysiology responsible for Brugada Syndrome?
Predisposition to complete heart block
Sodium channelopathy leading to a predisposition V-Fib.
Hyperkalemia induced sinusoidal wave
Critical LAD stenosis
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. Brugada Syndrome can happen in children
Brugada Syndrome can happen in children
True
False
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. What is the treatment for Brugada Syndrome?
What is the treatment for Brugada Syndrome?
Replenish electrolytes
Electrophysiology lab for ICD placement
Cardiac stress test
Cardiac cath lab for stent placement
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. What is the pathophysiology of Wellens’ Syndrome?
What is the pathophysiology of Wellens’ Syndrome?
Sodium channelopathy leading to a predisposition V-Fib.
Critical proximal LAD stenosis
Predisposition to complete heart block
Hyperkalemia induced sinusoidal wave
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7
. Which of following is NOT a criterion for Wellens’ Syndrome?
Which of following is NOT a criterion for Wellens’ Syndrome?
Lack of q-waves or significant ST-elevation
History of syncope
No or minimally elevated cardiac markers
History of chest pain
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. If left untreated, what is the anticipated natural history of Wellens’ Syndrome?
If left untreated, what is the anticipated natural history of Wellens’ Syndrome?
Inferior MI
Polymorphic V-tach
Posterior MI
Anterior MI
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. What is the treatment for Wellens’ Syndrome?
What is the treatment for Wellens’ Syndrome?
Weight loss
ICD placement
Cath lab for stent placement
Cardiac stress test
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10
. What are the EKG patterns in Wellens; Syndrome?
What are the EKG patterns in Wellens; Syndrome?
Biphasic T waves in the right to middle precordial leads or minimally elevated ST –segment with straight or convex morphology leading to deep inverted T-waves.
Sine wave or polymorphic V-tach
LVH with strain pattern
Right axis deviation with diffuse ST-depression
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