A 65 year old woman (162cm tall, weight 80kg) presents with exertional chest pain and SOB. She has a past history of hypertension treated with a thiazide diuretic. Her father died suddenly of unknown cause. There are no other CVS risk factors. Examination is unremarkable. Investigations reveal:
ECG:T wave inversion V5 and V6, ? mild LVH
TTE:LVH, normal systolic function
What is the most likely cause of her SOB?
B) diastolic dysfucntion
C) hypertensive heart disease
D) HOCM E) Obesity
With respect to aortic dissection, which of the following is the least common finding?
A)BP difference between arma
B)ST/T wave changes on ECG
C)Sudden onset of chest pain
A 60 year old man previously well, presents for pre-op assessment for an elective right inguinal hernia repair.
ECG- RBBB, otherwise normal.
What is the best course of management?
B)Proceed to surgery
Which of the following findings on Trans throacic echo is the most suggestive of HOCM?
A)Systolic anterior motion of the mitral valve
C)Septal:posterior wall ratio of > 1.3:1
What is the most common side effect of cardiac catheterisation?
B)AMI C)False aneurysm
A doppler cardiac echo is shown. It shows alternating positive and negative deflections from the midline and there are 2 cycles for each cardiac cycle timed by ECG – one cycle either side of the midline.
This most likely represents?
B)AS and MI C)AI and AS
E)AS and MS