Brugada/Wellens' Syndrome AOM 1. Default Section Question Title * 1. Badge Number Question Title * 2. What are the characteristic EKG findings in Brugada Syndrome? Normal sinus rhythm with multiple PVCs LBBB with discordant ST elevation RBBB with ST-segment elevation Third degree AV-block with bradycardic escape rhythm Question Title * 3. What is the pathophysiology responsible for Brugada Syndrome? Hyperkalemia induced sinusoidal wave Sodium channelopathy leading to a predisposition V-Fib. Predisposition to complete heart block Critical LAD stenosis Question Title * 4. Brugada Syndrome can happen in children False True Question Title * 5. What is the treatment for Brugada Syndrome? Replenish electrolytes Cardiac cath lab for stent placement Electrophysiology lab for ICD placement Cardiac stress test Question Title * 6. What is the pathophysiology of Wellens’ Syndrome? Hyperkalemia induced sinusoidal wave Predisposition to complete heart block Critical proximal LAD stenosis Sodium channelopathy leading to a predisposition V-Fib. Question Title * 7. Which of following is NOT a criterion for Wellens’ Syndrome? Lack of q-waves or significant ST-elevation History of chest pain No or minimally elevated cardiac markers History of syncope Question Title * 8. If left untreated, what is the anticipated natural history of Wellens’ Syndrome? Inferior MI Anterior MI Polymorphic V-tach Posterior MI Question Title * 9. What is the treatment for Wellens’ Syndrome? Cath lab for stent placement ICD placement Cardiac stress test Weight loss Question Title * 10. What are the EKG patterns in Wellens; Syndrome? LVH with strain pattern Right axis deviation with diffuse ST-depression 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 Done