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Samir rafla ecg quiz from saudi arabia cardiology conference 2013
Samir rafla ecg quiz from saudi arabia cardiology conference 2013
Samir rafla ecg quiz from saudi arabia cardiology conference 2013
Samir rafla ecg quiz from saudi arabia cardiology conference 2013
Samir rafla ecg quiz from saudi arabia cardiology conference 2013
Samir rafla ecg quiz from saudi arabia cardiology conference 2013
Samir rafla ecg quiz from saudi arabia cardiology conference 2013
Samir rafla ecg quiz from saudi arabia cardiology conference 2013
Samir rafla ecg quiz from saudi arabia cardiology conference 2013
Samir rafla ecg quiz from saudi arabia cardiology conference 2013
Samir rafla ecg quiz from saudi arabia cardiology conference 2013
Samir rafla ecg quiz from saudi arabia cardiology conference 2013
Samir rafla ecg quiz from saudi arabia cardiology conference 2013
Samir rafla ecg quiz from saudi arabia cardiology conference 2013
Samir rafla ecg quiz from saudi arabia cardiology conference 2013
Samir rafla ecg quiz from saudi arabia cardiology conference 2013
Samir rafla ecg quiz from saudi arabia cardiology conference 2013
Samir rafla ecg quiz from saudi arabia cardiology conference 2013
Samir rafla ecg quiz from saudi arabia cardiology conference 2013
Samir rafla ecg quiz from saudi arabia cardiology conference 2013
Samir rafla ecg quiz from saudi arabia cardiology conference 2013
Samir rafla ecg quiz from saudi arabia cardiology conference 2013
Samir rafla ecg quiz from saudi arabia cardiology conference 2013
Samir rafla ecg quiz from saudi arabia cardiology conference 2013
Samir rafla ecg quiz from saudi arabia cardiology conference 2013
Samir rafla ecg quiz from saudi arabia cardiology conference 2013
Samir rafla ecg quiz from saudi arabia cardiology conference 2013
Samir rafla ecg quiz from saudi arabia cardiology conference 2013
Samir rafla ecg quiz from saudi arabia cardiology conference 2013
Samir rafla ecg quiz from saudi arabia cardiology conference 2013
Samir rafla ecg quiz from saudi arabia cardiology conference 2013
Samir rafla ecg quiz from saudi arabia cardiology conference 2013
Samir rafla ecg quiz from saudi arabia cardiology conference 2013
Samir rafla ecg quiz from saudi arabia cardiology conference 2013
Samir rafla ecg quiz from saudi arabia cardiology conference 2013
Samir rafla ecg quiz from saudi arabia cardiology conference 2013
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Samir rafla ecg quiz from saudi arabia cardiology conference 2013

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ECG Quiz

ECG Quiz

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  • 1. ECG Quiz from Gulf and Saudi Conference 2013 Collected by Professor Samir Rafla Alexandria University smrafla@hotmail.com (Attended the conference) Answer follows each ECG
  • 2. • WPWs • Right posterior • EPS to ablate
  • 3. • Long QT • Start BB
  • 4. • EP study, if sustained V tach. is inducible implant ICD. If not inducible give amiodarone.
  • 5. • Catecholaminergic arrhythmia. Start Beta blockers and amiodarone. • ICD in this 13 y boy is second option.
  • 6. • 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
  • 7. • Pacemaker induced cardiomyopathy • Upgrade to CRT
  • 8. • Brugada syndrome • ICD is the prober management.
  • 9. • High take-off (LII), short QT • ICD is indicated
  • 10. • Short QT • Start amiodarone.
  • 11. • 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
  • 12. • Recording from ICD memory prove that there was no VF and the shock was given inappropriately.
  • 13. • The diagnosis is pericarditis: evidence is diffuse ST elevation, PR depressed. • Start high dose of aspirin and follow up.
  • 14. • Brugada syndrome • ICD is mandatory as he got VF
  • 15. • Early repolarization. • No intervention or evaluation.
  • 16. • Long QT • Non of the above.
  • 17. • 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.
  • 18. • Extensive anterior MI

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