70 yr old with lethargy and presyncope Type II AV block Mobitz
II
Slide 2
Same patient few minutes later Type II block Wenkebach/Mobitz
I
Slide 3
Same patient yet again Complete heart block Third degree
block
Slide 4
70 yr old with lethargy and syncope Trifascicular block 1 st
degree HB, RBBB and LAD (L anterior hemiblock)
Slide 5
Fusion beat Capture beats Monomorphic VT 50 yr old with
palpitations
Slide 6
R on T causing polymorphic VT = Torsade's du pointe
Slide 7
Ventricular Fibrillation You dont want this for your
patient
Slide 8
30 yr old male with syncope Brugada Syndrome
Slide 9
ECG Findings Three types ST elevation v1 v3 > 2mm Complete
or incomplete RBBB T-wave types 1. Inverted 2. Biphasic 3.
Upright
Slide 10
Brugada Why do we care? Predisposition to polymorphic
ventricular tachycardia Identification and treatment with AICD may
prevent a young sudden cardiac death
Slide 11
Arrthymogenic RV cardiomyopathy/dysplasia - inverted T waves in
leads V 1 through V 5. Arrowheads point to late RV activation,
called an epsilon wave 25 year old with syncope on exercising
Slide 12
When to refer cardiac syncope to ED All 2 nd degree and 3 rd
degree heart blocks All trifascicular blocks All rapid AF >120
All SVTs in not terminated by Valsalva manouvre funny looking ST/T
segments discuss/fax Asymptomatic patients with WPW, ST changes can
be referred to cardiology OPA
Slide 13
Important contact details for Northern Hospital Nov 2013
Clinical ED Consultant 8405 2610/8405 8610 ED Fax 8405 8633
EMET/General enquiries 8405 8013 (Kim Tarzia ED secretary) EMET
queries to Dr Cynthia Lim, Dr Peter Jordan, Dr Megan Robb ED
Director Dr Shyaman Menon EMET presentations :
www.nhedventures.comwww.nhedventures.com Adult Outpatients 8405
8850/8405 8335 Fax 8405 8761 Cardiology 8405 8859 Fax 8405 8405
(currently 3 month wait for Chest pain clinic) Paediatric/Paed
Surgery OPA 8405 8417 Fax 8405 8449 (current 4-6 week)(apmt sent 1
week) Paediatric Surg Fax 8405 8449 (within a week)
Slide 14
www.nhedventures.com Click on EMET on left to access
presentations provided. Registrar education sessions and
interesting education links
Slide 15
70 yr old with lethargy and presyncope Type II AV block Mobitz
II
Slide 16
Same patient few minutes later Type II block Wenkebach/Mobitz
I
Slide 17
Same patient yet again Complete heart block Third degree
block
Slide 18
70 yr old with lethargy and syncope Trifascicular block 1 st
degree HB, RBBB and LAD (L anterior hemiblock)
Slide 19
Fusion beat Capture beats Monomorphic VT 50 yr old with
palpitations
Slide 20
R on T causing polymorphic VT = Torsade's du pointe
Slide 21
Ventricular Fibrillation You dont want this for your
patient
Slide 22
30 yr old male with syncope Brugada Syndrome
Slide 23
ECG Findings Three types ST elevation v1 v3 > 2mm Complete
or incomplete RBBB T-wave types 1. Inverted 2. Biphasic 3.
Upright
Slide 24
Brugada Why do we care? Predisposition to polymorphic
ventricular tachycardia Identification and treatment with AICD may
prevent a young sudden cardiac death
Slide 25
Arrthymogenic RV cardiomyopathy/dysplasia - inverted T waves in
leads V 1 through V 5. Arrowheads point to late RV activation,
called an epsilon wave 25 year old with syncope on exercising
Slide 26
When to refer cardiac syncope to ED All 2 nd degree and 3 rd
degree heart blocks All trifascicular blocks All rapid AF >120
All SVTs in not terminated by Valsalva manouvre funny looking ST/T
segments discuss/fax Asymptomatic patients with WPW, ST changes can
be referred to cardiology OPA
Slide 27
Important contact details for Northern Hospital Nov 2013
Clinical ED Consultant 8405 2610/8405 8610 ED Fax 8405 8633
EMET/General enquiries 8405 8013 (Kim Tarzia ED secretary) EMET
queries to Dr Cynthia Lim, Dr Peter Jordan, Dr Megan Robb ED
Director Dr Shyaman Menon EMET presentations :
www.nhedventures.comwww.nhedventures.com Adult Outpatients 8405
8850/8405 8335 Fax 8405 8761 Cardiology 8405 8859 Fax 8405 8405
(currently 3 month wait for Chest pain clinic) Paediatric/Paed
Surgery OPA 8405 8417 Fax 8405 8449 (current 4-6 week)(apmt sent 1
week) Paediatric Surg Fax 8405 8449 (within a week)
Slide 28
www.nhedventures.com Click on EMET on left to access
presentations provided. Registrar education sessions and
interesting education links