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Phys Vivasgeneral-medicine

Phys Vivas · general-medicine

Undifferentiated Palpitations — Viva Defence

Structured DCE viva for the patient presenting with undifferentiated palpitations: the model presentation of the focused history and the cardiovascular examination, the four-descriptor classification (regular fast, irregular, missed beat, pounding), the mandatory 12-lead ECG interpretation (AF, SVT, VT, long QT, WPW, Brugada), the tiered ambulatory monitoring strategy, the high-risk features, the modified Valsalva manoeuvre (REVERT), the adenosine dosing and contraindications, the catheter ablation, the AF management with the anticoagulation, and the classic exam traps.

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Target exams

FRACP DCEMRCP PACES
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Target exams

FRACP DCEMRCP PACES
Prompt
Structured DCE viva for the patient presenting with undifferentiated palpitations: the model presentation of the focused history and the cardiovascular examination, the four-descriptor classification (regular fast, irregular, missed beat, pounding), the mandatory 12-lead ECG interpretation (AF, SVT, VT, long QT, WPW, Brugada), the tiered ambulatory monitoring strategy, the high-risk features, the modified Valsalva manoeuvre (REVERT), the adenosine dosing and contraindications, the catheter ablation, the AF management with the anticoagulation, and the classic exam traps.

Undifferentiated Palpitations — Viva

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References8ShowHide
  1. [1]Page RL, Joglar JA, Caldwell MA, et al. 2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society J Am Coll Cardiol, 2016.PMID 26409258
  2. [2]Calkins H The 2019 ESC Guidelines for the Management of Patients with Supraventricular Tachycardia Eur Heart J, 2019.PMID 31837143
  3. [3]Kuzmin B, Staack T, Wippermann J, et al. Left atrial appendage occlusion device causing coronary obstruction: A word of caution J Card Surg, 2021.PMID 33331003
  4. [4]Appelboam A, Reuben A, Mann C, et al. Postural modification to the standard Valsalva manoeuvre for emergency treatment of supraventricular tachycardias (REVERT): a randomised controlled trial Lancet, 2015.PMID 26314489
  5. [5]Abrams DJ Long QT syndrome Circulation, 2014.PMID 24709866
  6. [6]Link MS Clinical practice. Evaluation and initial treatment of supraventricular tachycardia N Engl J Med, 2012.PMID 23050527
  7. [7]Novella J, DeBiasi RM, Coplan NL, et al. Noninvasive risk stratification for sudden death in asymptomatic patients with Wolff-Parkinson-White syndrome Rev Cardiovasc Med, 2014.PMID 25662922
  8. [8]Hindricks G, Potpara T, Dagres N, et al. 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation Eur Heart J, 2021.PMID 32860505
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