SAQ 479 – Cardiology – exertional syncope with systolic murmur

A 17-year-old male presents after syncope while running and is currently asymptomatic. You hear a systolic murmur on examination. His observations are shown below.

Complete the table describing how the systolic murmur changes with each manoeuvre.

(Marked out of 12.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Manoeuvre</th> <th>Hypertrophic cardiomyopathy</th> <th>Mitral valve prolapse</th> <th>Aortic stenosis</th> <th>Mitral regurgitation</th> </tr> </thead> <tbody> <tr> <td>Valsalva</td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>Squatting</td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>Hand grip</td> <td></td> <td></td> <td></td> <td></td> </tr> </tbody> </table> <p>

/ 12

You suspect hypertrophic cardiomyopathy. List three (3) ECG features that may be present.

(Marked out of 3.0)

/ 3

In confirmed hypertrophic cardiomyopathy, list three (3) specific treatments that may prevent sudden death.

(Marked out of 3.0)

/ 3

Total Score: 0 / 18

Percentage: 0%