SAQ 1041 – Cardiology – syncope with family history of sudden death

A 45-year-old woman with hypertension and cigarette smoking presents after sudden syncope while sitting at a cafe with a friend.

She has fully recovered with normal vital signs, mentions mild reflux-type discomfort during lunch and reports a family history of sudden death.

Complete the table comparing ECG findings and pathogenesis of Wellen syndrome and type 1 Brugada syndrome.

(Marked out of 4.0)
</p> <table class="saq-prop-table" style="width: 100%; max-width: 100%; table-layout: fixed; border-collapse: collapse;"> <thead> <tr> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Syndrome</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Typical ECG findings</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Pathogenesis</th> </tr> </thead> <tbody> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Wellen syndrome</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Type 1 Brugada syndrome</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> </tbody> </table> <p>

/ 4

List four other causes of T-wave inversion in the anterior leads.

(Marked out of 4.0)

/ 4

You consider inherited hypertrophic cardiomyopathy. List and describe four classical examination findings of HCM.

(Marked out of 4.0)

/ 4

What ECG findings would you expect in HCM?

(Marked out of 3.0)

/ 3

Total Score: 0 / 15

Percentage: 0%