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Exam (elaborations)

Mayo Clinic Arrhythmia Exam Questions and Answers All Correct

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  • Mayo Clinic Arrhythmia
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  • Mayo Clinic Arrhythmia

Mayo Clinic Arrhythmia Exam Questions and Answers All Correct What is the definition of POTS? - Answer-Increase in HR > 30 bpm moving from recumbent to a standing position. Absence of orthostatic HOTN. (>20 mm Hg SBP drop) What are the 2 types of Carotid Sinus Syndrome? - Answer-- Card...

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  • August 11, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • mayo clinic arrhythmia
  • Mayo Clinic Arrhythmia
  • Mayo Clinic Arrhythmia
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Mayo Clinic Arrhythmia Exam Questions
and Answers All Correct

What is the definition of POTS? - Answer-Increase in HR > 30 bpm moving from
recumbent to a standing position.
Absence of orthostatic HOTN. (>20 mm Hg SBP drop)

What are the 2 types of Carotid Sinus Syndrome? - Answer-- Cardioinhibitory: Dual
Chamber Pacing & Anticholinergics.
- Vasodepressor: Midodrine, Fludrocortisone, SSRI.

PPM for VVS? - Answer-Might be reasonable in a select population of pts who are:
- > 40 years of age
- Prolonged spontaneous pauses.

When are beta-blockers reasonable in patients with recurrent VVS (i.e., what age)? -
Answer->/= 42 years old

When is it reasonable to start Fludrocortisone in recurrent VVS? - Answer-- Start at 0.1-
0.2 mg in normotensive patients.
- Wait at least 2 weeks before deciding to stop.

What is the indication for Midodrine in VVS? - Answer-Patients with recurrent VVS with
no history of HTN, CHF, or urinary retention.

When is an ICD indicated in Long QT Syndrome? - Answer-High risk features:
1. QTC > 500
2. LQT2; LQT3
3. LQT2 females
4. <40 years old

---PPM/ICD/CRT Lecture---

Dx: no energy delivery - indicated by inappropriate absence of pacing (usually due to V
oversensing or circuit interruption)? - Answer-Failure of output.

Dx: failure to recognize and act on native cardiac P wave or QRS? - Answer-
Undersensing.

Dx: abnormal pacing inhibition of triggering from undesired sensing? - Answer-
Oversensing.

, What are the causes of *Undersensing*? - Answer-Lead dislodgement; lead failure;
altered cardiac potentials.

What are the causes of *Oversensing*? - Answer-Cardiac potentials; hardware noises;
myopotentials; EMB.



VT
Scar based VT: tx? - Answer-1. Amio/Sotalol/Dofetilide
2. ICD/Ablation/Neuraxial blockade

In what kind of VT is an ICD contraindicated? - Answer-Idiopathic VT.

Idiopathic VT: tx? - Answer-BB/CCB/Anti-Arrhythmics/ADO

Name the Dx: QT prolongation-Torsades; Triggered (EAD). - Answer-Polymorphic
VT/VF

Name the dx: structural heart disease + re-entry + bundle branch reentry? - Answer-
Scar Based-VT.

Name the dx: RBBB/LAFB + Verapamil sensitive (+relatively narrow)? - Answer-
Fasicular VT.

Name the dx: Triggered DAD (OT) + Abnormal Automaticity (papillary muscle) +
symptoms + tachycardia-induced CMP? - Answer-Idiopathic VT.

Dx:
LBBB morphology + TWI in V1-V3
+/- Epsilon Waves. - Answer-ARVC.

In what condition does exercise worsen progression? - Answer-ARVC.

ARVC: what is the mutation? - Answer-Desmosome protein mutation.

Dx: RBBB + LAFB. Re-entry. Verapamil sens. Ado sensitive. - Answer-Fasicular VT.

Dx: Left axis + RB? - Answer-Fasicular VT.

Idiopathic VT is suppressed by? - Answer-BB
CCB
Adenosine

Dx: Inferior axis + LBBB in ectopy? - Answer-RVOT VT

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