Cardiology Quiz for Emergency Physicians

30 year old with with syncopal episode whilst playing Rugby.

Obs: NAD

PMH: Nil significant

• Hypertrophic Obstructive Cardiomyopathy

• Brugada Syndrome

• Anterior STEMI

• Long QT syndrome

40 M with palpitations which has since settled and lasting 2 hours only.

No PMH of note

Non smoker

No previous IHD

• HOCM

• WPW Syndrome

• ARVD

• Wellem Syndrome

65F with with 3 days of diarrhea

PMH: hypertension

O/E: Lethargic and clinically dry

• Ventricular tachycardia

• Hyperkalaemia

• AF with slow ventricular rate

• Inferior STEMI

54 M with ingestion and epigastric discomfort for last 2 hours.

PMH: Angina, T2DM, Obesity, Smoker

• NSTEMI

• Lateral STEMI

• Anterior STEMI

• Inferior STEMI

35M collapses whilst playing football

Fit and healthy otherwise

• HOCM

• WPW

• Brugada

• ARVO

19F collapsed for 15 seconds during cannulation

Fit and healthy

• WPW

• Brugada

• ARVO

• Normal Sinus Rhythm

72 year old with palpitations

BG: hypothyroid on levothyroxine

• Atrial tachycardia

• Atrial fibrillation

• Ventricular fibrillation

• Ventricular tachycardia

50M with central crushing chest pain lasting for an hour and now resolved

BG: Smoker

• Wellen syndrome

• Anterior STEMI

• Lateral STEMI

• Inferior STEMI

35M with palpitations

• Wellen Syndrome

• WPW Syndrome

• Brugada syndrome

• AF

Same patient now getting dizzy and lightheaded.

What would you do?

• Amiodarone

• Adenosine

• Vagal Maneouvre

• DCCV