SAQ 587 – Cardiology – recurrent dysrhythmia with prolonged QT risk

A 65-year-old man presents with chest pain. As the triage nurse performs an ECG, he loses consciousness. His 12-lead ECG is shown below.

List three (3) important ECG findings and state why each is important.

(Marked out of 6.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>ECG finding</th> <th>Importance</th> </tr> </thead> <tbody> <tr> <td>1.</td> <td></td> </tr> <tr> <td>2.</td> <td></td> </tr> <tr> <td>3.</td> <td></td> </tr> </tbody> </table> <p>

/ 6

For each of three (3) methodologies for estimating the QT interval, state its utility in this patient.

(Marked out of 3.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Methodology</th> <th>Utility</th> </tr> </thead> <tbody> <tr> <td>1.</td> <td></td> </tr> <tr> <td>2.</td> <td></td> </tr> <tr> <td>3.</td> <td></td> </tr> </tbody> </table> <p>

/ 3

Despite multiple defibrillations, he has recurrent dysrhythmia. A friend brings in his medications, including sotalol. List two (2) further interventions you would consider.

(Marked out of 2.0)

/ 2

List one (1) drug agent that may need to be avoided.

(Marked out of 1.0)

/ 1

Total Score: 0 / 12

Percentage: 0%