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SA Node

Total questions: 10

Worksheet time: 3hrs 30mins

Name
Class
Date
1.

To evaluate SA node automaticity in the EP lab, physicians will perform

a)

SNRT or CSNRT measurements

b)

Atrial ERP or RRP measurements

c)

AV conduction mapping

d)

Atrial conduction mapping

2.

An EP test indicative of severe sinus node dysfunction is

a)

Atrial FRP > 200 msec

b)

Atrial ERP < 200 msec

c)

CSNRT > 525 msec

d)

CSNRT < 525 msec

3.

What EP technique is used to measure SNRT?

a)

Overdrive suppression

b)

Programmed stimulation

c)

Parahisian pacing

d)

Evaluating antegrade AV conduction

4.

The technique to measure the SA node conduction time (SACT) uses

a)

Isuprel to increase the sinus rate

b)

A High RA extrastimuli to reset the sinus node

c)

A 30 second Hi-RA pulse train, just faster than the sinus rate

d)

The conduction time between Hi RA and Low RA electrodes

5.

Which patient below has normal electrogram measurements in milliseconds?

a)

AA 673, QRS 86, QT 401, AH 73, HV 48

b)

AA 673, QRS 401, AH 48, HV 73

c)

AA 673, QRS 105, QT 401, AH 130, HV 25

d)

AA 673, QRS 86, QT 401, AH 73, HV 105

6.

A patient's Sinus Node Recovery time was measured at 1175 msec, sinus cycle length 930 msec, QRS duration 86 msec, and HV of 52. What is the CSNRT?

(a)  

7.

The SNRT evaluates sinus node automaticity. CSNRT is "corrected" in an attempt to compare it to normal. What is the upper limit of normal for the CSNRT?

(a)  

8.

SACT measurement is used to evaluate a patient for

a)

SA node exit block

b)

Dual AV pathways

c)

SA node automaticity

d)

Retrograde SA node conduction

e)

Sick Sinus Syndrome

9.

The SACT (Sino Atrial Conduction Time) is calculated by the formula

(a)  

10.

SNRT and CSNRT should be measured at several cycle lengths. In the measurements below, what CSNRT should be reported?

a)

CL - 600 ms

SNRT - 1100

CSNRT - 500

b)

CL - 500

SNRT - 1010

CSNRT - 510

c)

CL - 450

SNRT - 970

CSNRT - 520

d)

CL - 400

SNRT - 930

CSNRT - 530

e)

CL - 350

SNRT - 870

CSNRT - 520