Phys Vivas · cardiovascular
Sudden Cardiac Death AND ICD CRT Therapy — Viva Defence
DCE viva defence for Sudden Cardiac Death AND ICD CRT Therapy.
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Sudden Cardiac Death AND ICD CRT Therapy Viva
Long Case Viva Defence
Opening statement
"This patient presents with a problem best framed as Sudden Cardiac Death AND ICD CRT Therapy. My priorities are to identify red flags, confirm the mechanism with purposeful investigations, start a sequenced management plan, and integrate multimorbidity and follow-up." [1] [2]
Examiner questions
Q1: "What makes this urgent?" [1]
"I look for threats to airway, perfusion, neurology, metabolism, infection or bleeding, and I escalate those before elective work-up." [1] [2]
Q2: "What is your first investigation package?" [2]
"I order tests that change management now, not a scattergun panel." [1] [2]
Q3: "Walk me through treatment." [1]
"Stabilise, treat the mechanism, prevent complications, and plan monitoring." [1] [2] [3]
Q4: "What is the classic trap?" [2]
"Treating a label without confirming the discriminating mechanism, or delaying escalation." [1] [2]
You have read the opening of this viva. The complete unit — every section and its primary-source references — is part of the Physician Medicine fellowship atlas.
References8Show ledgerHide ledger
- [1]Toon LT, Monkhouse C, Ullah W, Paisey J Next-generation ICDs: Individualised Selection for Improved Cardiac Outcomes Arrhythm Electrophysiol Rev, 2026.PMID 42170355
- [2]Yokoshiki H, Watanabe M, Mitsuhashi T, Shimizu A Current Status of Implantable Cardioverter-Defibrillators (ICDs)/Cardiac Resynchronization Therapy With Defibrillators (CRT-Ds) for Primary Prevention of Sudden Cardiac Death J Arrhythm, 2026.PMID 42039769
- [3]Ivandic H, Pervan B, Velagic V, Jovic A, et al. Improving Risk Stratification in Sudden Cardiac Death Using Interpretable Machine Learning: A Clinical Perspective Healthcare (Basel), 2025.PMID 41228154
- [4]Mirzoyev U, Kadyrov B, Mirrakhimov E, Linde C, et al. Access to cardiac implantable electronic device therapy in the ESC EuroAsia region: a comparative analysis of implantation activity, infrastructure, and health financing Eur Heart J Qual Care Clin Outcomes, 2026.PMID 42247583
- [5]Zhuang J, Wen G Comparison of the benefit of primary prophylactic implantable cardioverter-defibrillator on patients with ischemic cardiomyopathy and idiopathic dilated cardiomyopathy Ir J Med Sci, 2026.PMID 42090060
- [6]Doan HN, Chang MC Comparative Effectiveness of Unstable Versus Stable Resistance Training on Lower Limb Strength, Mobility, and Fear of Falling in Older Adults: A Systematic Review and Meta-analysis of Randomized Controlled Trials Am J Phys Med Rehabil, 2026.PMID 42468010
- [7]Liu HW, Tsai TL Virtual Reality-assisted Physiotherapeutic Training for Patients With Knee Osteoarthritis: A Systematic Review and Meta-analysis Am J Phys Med Rehabil, 2026.PMID 42468005
- [8]Osborne AK, Brown RD, Sillence E Effects of Social Media Narratives on Affective and Behavioral Responses to Menopause Content: Randomized Online Experimental Study JMIR Form Res, 2026.PMID 42467962