CBL02 ECG Interpretation / Palpitation

Open Ended

A 50-year-old woman came to the Emergency & Trauma department because of the sudden onset of palpitations and severe breathlessness. The X-ray on the right shows an enlargement of a penetrated view of the right heart border. Describe the ECG shown in the picture?

Open Ended

What is the Provisional Diagnosis

Multiple Choice

Assume this patient was not certain on how long has her symptoms presisting, what is the initial management that can be done by this patient.

• Start on oral anticoagulants

• DC Cardioversion

• IV Amiodarone

• β blockers

Open Ended

A 60 year-old man complained of severe central chest pain, and a few minutes later become extremely breathless & collapsed. He was brought to A&E department, where his heart rate was found to be 165/min, his BP was unrecorded & he had signs of left ventricular failure. ECG had been done. Describe the ECG findings.

Multiple Choice

What is the type of arrhythmia found in this patient?

• Ventricular tachycardia

• Premature ventricular contraction 

• Torsade de pointes 

• Ventricular fibrillation

• Accelerated Idioventricular Rhythm

Open Ended

Differentiating points suggesting of VT from SVT with bundle branch block/WPW

Open Ended

What is the Difference between AIVR and VT?

Open Ended

What is Your Idea about Bradyarrhythmias?

Multiple Choice

A 78 year old man is brought in by ambulance to resus after being found collapsed at home. The paramedic explains that he has a history of hypertension, AF, depression and ischaemic heart disease. His partner hands you his list of medication which includes apixaban, bisoprolol, Senna, verapamil, citalopram and doxazosin. ECG is performed.

• 1st Degree AV Block

• 2nd Degree AV Block Mobitz type I

• 2nd Degree AV Block Mobitz type II

• 3rd Degree AV Block

• Sinus Bradycardia

Multiple Choice

What is the most likely cause of his ECG findings?

• Bisoprolol and Doxazosin

• Bisoprolol and Citalopram

• AF with slow ventricular response

• Bisoprolol and Verapamil

• Inferior myocardial infarction

Open Ended

What are the further investigation you want to rule out the underlying cause?

Multiple Choice

What is the definitive treatment for this patient?

• Stop the medication

• Permanent pacemaker

• Give Calcium 

• Discharge the patient

• Cardioversion

Open Ended

What is your idea about Bundle Branch Block

Multiple Choice

A 23 year old male with private health insurance has his annual routine health-check up. He is previously well and all the lab results are unremarkable. An ECG is performed. Based on the ECG, what’s is the likely diagnosis

• Left Bundle Branch Block

• 2nd Degree Heart Block

• Right Bundle Branch Block

• 3rd Degree Heart Block

• 1st Degree Heart Block

Multiple Choice

Which of the following may explain the cause for the finding of this ECG?

• Myocardial infarction

• Fibrosis of the bundle of His

• Normal finding

• Aortic stenosis

• Digoxin therapy