Review Note
Last Update: 02/05/2025 08:20 AM
Current Deck: BPT QC
Published
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Front
A 42 year old male collapses and has a cardiac arrest in the shopping center. There has been no preceding chest pain, palpitations. His rhythm strip shows VF arrest. He has no past medical history. He was resuscitated successfully. Which of the following is the most likely cause?
A. ARVD
B. Hypertrophic obstructive cardiomyopathy
C. Long QT syndrome
D. Ischemic heart disease
E. Brugada syndrome
Back
D. Ischemic heart disease
In SCD, 70% of cases is caused by CAD (acute or chronic), followed by structural heart disease (10%) and non-structural (5%, which include Brugada syndrome, long QT, etc)
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CGPT (E) Brugada often presents with sudden cardiac arrest in young indivudals without cardiac history
A. ARVD - typically presents with palpitations, syncope
B. Hypertrophic obstructive cardiomyopathy - associated with chest pain, dyspnoea, syncope
C. Long QT syndrome - syncope and sudden cardiac events triggered by physical or emotional stress
D. Ischemic heart disease - young patient without cardiac risk factors
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