Showing posts with label cardiology. Show all posts
Showing posts with label cardiology. Show all posts

Sunday, March 15, 2009

Drugs that cause prolonged QT interval

Drugs commonly asked in MRCP exams:
Quinidine
Erythromycin, clarithromycin
Amiodarone
Sotalol
Tricyclic antidepressants
Chloroquine
Phenothiazine
Non-sedating anti-histamines
Ciprofloxacin

ECG: Causes of Axis Deviations




The normal axis is generally between -30 and +90 degrees.Right axis deviation is defined as axis located between 90 degrees and 180 degrees. Left axis deviation defined as the axis located between -30 degrees and -90 degrees.
The left table summaries the easy way to determine the cardiac axis (http://sitemaker.umich.edu/ecgtutorial/axis)

Left axis deviation
Left bundle branch block
Atrial spetal primum defect
Wolf-parkinsons white disease Type A
Inferior MI
Left anterior hemiblock
(N.B: LVH itself does not cause Left axis deviation)

Right axis deviation
Maybe normal variant in young adults
Right bundle branch block
Acute right heart strain - e.g. PE
Left posterior hemiblock
Right ventricular hypertrophy - e.g. Chronic lung disease +/- pulmonary hypertension
Dextrocardia
Anterolateral Myocardial Infarction
Wolff-Parkinson Wright Syndrome Type B
Atrial septal defect secundum
Severe pulmonary stenosis
Fallot's tretralogy / VSD

Tutorial link: https://courses.stu.qmul.ac.uk/smd/kb/resources/ECG_workshop/session2.htm

Thursday, May 1, 2008

Presentation of the week - ECG changes in a poisoned patient

This week was asked to prepare a talk on ECG rounds. The topic that I chose was ECG changes in a poisoned patient. It is interesting to know how different drugs (especially anti-arrhythmics) can cause ECG changes and it can help us appreciate the myocardial electrophysiology.
Hope you'll find this helpful.

Saturday, April 12, 2008

New summary sheet - pulsus paradoxus de-mysti-fied


Been experimenting with my mac's OmniGraffle for building diagrams.
I'm highly impressed with this software's user-friendliness & graphics interface.
Please feel free to have a read, hope you'll find this useful.
Comments welcome!
(Please click my summary sheets column on the right side for more slides)