Cardiology Jeopardy Don’t Go Failing My Heart Acute Coronary Syndromes Name that Rhythm Cardiac Numbers All About Valves 100 100 100 100 100 200 200 200 200 200 300 300 300 300 300 400 400 400 400 400

Name That Rhythm - 100 Normal sinus rhythm

Name That Rhythm - 200 Complete heart block – p waves march through

Name That Rhythm - 300 Flutter with 4:1 conduction, make sure you count the “hidden” f waves

Name That Rhythm - 400 AVRT – Note inverted retrograde p waves

Cardiac Numbers - 100 Q: Indications for biventricular pacemaker-defibrillator placement include NYHA class III or IV heart failure, a QRS width greater than 120 msec, and an ejection fraction less than or equal to this percent. What is 35%

Cardiac Numbers - 200 In asymptomatic patients, repair is indicated for abdominal aortic aneurysms with this transverse diameter or larger, or those demonstrating an expansion rate of more than 0.5 cm/year. 5.5cm

Cardiac Numbers - 300 Thrombolytic therapy has not shown a clear benefit for patients presenting more than this many hours from symptom onset. 12 hours

Cardiac Numbers - 400 Exercise stress testing is only diagnostic at an adequate workload, defined as achieving this percent of the maximum predicted heart rate. 85%

Don’t Go Failing My Heart - 100 A set of major and minor findings used to charaterize the clinical syndrome of heart failure, named after a landmark cardiologic study Framingham Criteria

Don’t Go Failing My Heart - 200 While this class of medications has been shown to decrease mortality in Class III and IV heart failure patients, they were shown in a recent study to improve mortality even in patients with class I or II NYHA heart failure Aldosterone antagonists

Don’t Go Failing My Heart - 300 Grade 2 diastolic heart failure is often referred to on echo reports as this Pseudonormalization

Don’t Go Failing My Heart - 400 This electrocardiographic finding automatically disqualifies a patient for cardiac resynchronization therapy RBBB

All About Valves - 100 Physical examination features of this disease includes a mid- to late-peaking systolic murmur, an S4, a single S2 and delayed timing and decreased amplitude in the carotid pulses (pulsus parvus et tardus) Aortic stenosis

All About Valves -200 The echocardiographic appearance of the cardiac sequelae of this "hot" disease is one of commissural fusion, leaflet thickening, calcification, and restricted leaflet motion.

All About Valves - 300 This procedure, used to establish coronary perfusion and afterload reduction, is contraindicated in patients with aortic valve regurgitation Intra aortic balloon pump

All About Valves - 400 In discussion of this syndrome, which is a constellation of nonspecific symptoms including palpitations, atypical chest pain, dyspnea, fatigue, orthostatic symptoms, and neuropsychiatric complaints, something usually clicks Mitral valve prolapse

Acute Coronary Syndromes - 100 This process, thought to be responsible for most cases of in-stent restenosis, is the target for the drugs eluted by drug eluting stents Intimal hyperplasia

Acute Coronary Syndromes - 200 Sometimes mistaken for ischemic ST elevation in the anteroseptal leads, this syndrome is a relatively rare but significant cause of sudden cardiac death, particularly in males of Southeast Asian descent Brugada Syndrome

Acute Coronary Syndromes - 300 This constellation of findings includes biphasic t waves in the anteroseptal leads transitioning to inverted t waves in the anterolateral leads and often denotes an acute proximal LAD occlusion Wellen’s Syndrome

Acute Coronary Syndromes - 400 A 67 year old male whose parents have no cardiac history; with a personal history of hypertension and current smoking who takes no medications and presents with severe intermittent crushing chest pain for the last two days, no ST changes, and an troponin of .6 has this TIMI risk score 3 – age, trop, >2 anginal episodes