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Ventricular tachycardia on holter monitor increases the risk of sudden death and these pts. need an lCD. T -r- 4. Murmur i ncreases on standing, valsalva and decreases with handshake and t- sitting. I - T - 'T 0108. An asymptomatic 18 y/o wants to join soccer team and presents for a routine physical exam which reveals ejection murmur & brisk carotid upstroke. CHO reveals 16 mm thickened upper portion of interventricular septum. d I -7 Can ck How to treat his symptoms: Chest pain-7 � blocker long acting Calcium channel blocker The Pt.
X-ray 155. A Pt. had Affb. You were treating him with Diltiazem with rate control. Echo had tructurally normal heart. Few days later Pt. comes back with Increased symptoms of alpltations. 24 hr. Holter showed many episodes of Affb while he had symptoms urlng those episodes. What to do? �Add Beta blocker A. Increase dose of Calcium channel blocker C. Add Digoxin D. Start Propafenone 156. Which drug will bring Atrial fibrillation Into NSR. --------� A. Diltiazem f. lbutilide B. � blocker Atrial Flutter Atria flutters around 250-350/min.
L:'j' �u-. :, 135. 18 v/o woman 170/105. d next? ,_ B 7 1' 6 T --------� L Urine for toxicology B. BP of lower extremities C. Aldosterone level 136. 2 1 y/o Pt. with chest pain, Cocaine + in urine. BP 160/100. d n ext? ® Copyright 2014 Do not photocopy without permission Page 585 Q137. How to prevent chest pain in the future in this Pt.? --------� A . � blocker B. ACE inhibitor � Calcium channel bl o c ke r Chart 13-13 Aneurysms Thoracic Abdominal Symptoms • • Chest pain radiating to back. • Interscapular pain Acute AR murmur Widened mediastinum • f.