Subacute AnteroSeptal STEMI, With Persistent ST elevation and Upright T-waves
DiscussionWhen there is full thickness infarction, there is epicardial inflammation (post-infarction regional pericarditis), and the myocardium is at risk of "rupture." The term "rupture" makes it sound like some sort of explosion or massive blowout, but it is usually a small, slow leak that, over time, can cause tamponade and death. Rupture can be either free wall rupture (causing tamonade) or septal rupture, causing ventricular septal defect with left to right flow and resulting pulmonary edema and shock. If detected early by ultrasound, the patient can be saved. Our own Dave Plummer of HCMC repor...
Source: Dr. Smith's ECG Blog - July 18, 2014 Category: Cardiology Authors: Steve Smith Source Type: blogs
Bisferiens pulse (Pulsus bisferiens)
Bisferiens pulse may be seen in all of the following except:
1. Free aortic regurgitation
2. Combination of aortic regurgitation and stenosis
3. Hypertrophic obstructive cardiomyopathy
4. Fallot’s tetralogy
Correct answer: 4) Fallot’s tetralogy
Bisferiens pulse (pulsus bisferiens) has two systolic peaks and is seen in both free (severe) aortic regurgitation and a combination of aortic regurgitation and stenosis, especially when the regurgitation is dominant. In severe aortic stenosis, the pulse is low volume and slow peaking – pulsus parvus et tardus. In hypertrophic obstructive cardiomyopathy (HOCM), soo...
Source: Cardiophile MD - April 16, 2014 Category: Cardiology Authors: Johnson Francis Tags: Cardiology MCQ Source Type: blogs
Most common congenital heart disease in adults
(excluding bicuspid aortic valve):
a) Atrial septal defect
b) Ventricular septal defect
c) Patent ducutus arteriosus
d) Tetralogy of Fallot
Correct answer: a) Atrial septal defect
Most common congenital heart disease at birth is ventricular septal defect. Tetralogy of Fallot is the most common cyanotic congenital heart disease in the adult. (Source: Cardiophile MD)
Source: Cardiophile MD - October 27, 2013 Category: Cardiology Authors: Prof. Dr. Johnson Francis MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance ASD PDA TOF VSD Source Type: blogs
Most common congenital heart disease
:
a) Atrial septal defect
b) Ventricular septal defect
c) Patent ductus arteriosus
d) Tetralogy of Fallot
Correct answer: b) Ventricular septal defect
Ventricular septal defect is the commonest congenital heart disease at birth. Bicuspid aortic valve is thought to be the most common congenital cardiac malformation. In a pre-term infant, the most likely defect is patent ductus arteriousus and prevalence increases as the prematurity increases. (Source: Cardiophile MD)
Source: Cardiophile MD - August 29, 2013 Category: Cardiology Authors: Prof. Dr. Johnson Francis MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
Cardiology MCQ Test 5
Cardiology MCQ Online 5
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Source: Cardiophile MD - July 15, 2013 Category: Cardiology Authors: Prof. Dr. Johnson Francis MD, DM, FACC, FRCP Edin Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
Cardiology MCQ Online 5
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You are welcome to try this MCQ set and share it among your friends. Answer key with explanation appears after you complete the test and submit it and press on the view questions button. We strongly advise you t...
Source: Cardiophile MD - July 15, 2013 Category: Cardiology Authors: Prof. Dr. Johnson Francis MD, DM, FACC, FRCP Edin Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
Cardiology MCQ Test 4
Cardiology MCQ Online 4
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Source: Cardiophile MD - July 14, 2013 Category: Cardiology Authors: Prof. Dr. Johnson Francis MD, DM, FACC, FRCP Edin Tags: Cardiology MCQ DM / DNB Cardiology Entrance ECG Echocardiography Source Type: blogs
Cardiology MCQ Online 4
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You are welcome to try this MCQ set and share it among your friends. Answer key with explanation appears after you complete the test and submit it and press on the view questions button. We strongly advise you t...
Source: Cardiophile MD - July 14, 2013 Category: Cardiology Authors: Prof. Dr. Johnson Francis MD, DM, FACC, FRCP Edin Tags: Cardiology MCQ DM / DNB Cardiology Entrance ECG Echocardiography Source Type: blogs
Cardiology MCQ Test 3
Cardiology MCQ Online 3
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Source: Cardiophile MD - July 14, 2013 Category: Cardiology Authors: Prof. Dr. Johnson Francis MD, DM, FACC, FRCP Edin Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
Cardiology MCQ Online 3
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Source: Cardiophile MD - July 14, 2013 Category: Cardiology Authors: Prof. Dr. Johnson Francis MD, DM, FACC, FRCP Edin Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
Large Transmural STEMI with Myocardial "Rupture" of Ventricular Septum
A man in his 60's presented after 4 days of chest pain, with some increase of pain on the day of presentation. Exact pain history was difficult to ascertain. There was some SOB. He had walked into the ED (did not use EMS). Here is his ECG:There is atrial fibrillation at a rate of 95. There is Right Bundle Branch Block with a QR particularly noted in V1-V3 (no rSR', as there is an initial Q-wave diagnostic of infarction in the anterior wall and septum). The Q-waves extend to V5 and are very wide (80 ms in V2). There are also inferior Q-waves which can mimic a left anterior fas...
Source: Dr. Smith's ECG Blog - July 7, 2013 Category: Cardiology Authors: Steve Smith Source Type: blogs
Cardiology MCQ Online 2
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Source: Cardiophile MD - June 5, 2013 Category: Cardiology Authors: Prof. Dr. Johnson Francis MD, DM, FACC, FRCP Edin Tags: Cardiology MCQ Source Type: blogs
Cardiology MCQ Test 2
Cardiology MCQ Online 2
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Source: Cardiophile MD - June 5, 2013 Category: Cardiology Authors: Prof. Dr. Johnson Francis MD, DM, FACC, FRCP Edin Tags: Cardiology MCQ Source Type: blogs
Cardiology Online Test Series 2
Cardiology Online Test Series 2
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You are welcome to try this Cardiology MCQ set and share it among your friends. We strongly advise you to verify the answe...
Source: Cardiophile MD - May 22, 2013 Category: Cardiology Authors: Prof. Dr. Johnson Francis MD, DM, FACC, FRCP Edin Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
Cardiology Online Test Series 2
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You are welcome to try this Cardiology MCQ set and share it among your friends. We strongly advise you to verify the answers with standard text books.
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Source: Cardiophile MD - May 21, 2013 Category: Cardiology Authors: Prof. Dr. Johnson Francis MD, DM, FACC, FRCP Edin Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
