| What symptoms are associated with sinus node dysfunction in symptomatic patients? | sinus pauses > 3s long with symptom correlation or heart rate <40/min during awake hours | AV CONDUCTION DISEASE • Complete heart block, advanced AV block, or Mobitz Type II block • Associated neuromuscular disease SINUS NODE DYSFUNCTION • Symptomatic patients with sinus pauses > 3s long with symptom correlation or heart rate <40/min during awake hours | 175 | summary | 0.970 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1771492063_bradyarrthymia13_2_2.pdf | AV CONDUCTION DISEASE • Complete heart block, advanced AV block, or Mobitz Type II block • Associated neuromuscular disease SINUS NODE DYSFUNCTION • Symptomatic patients with sinus pauses > 3s long with symptom correlation or heart rate <40/min during awake hours | 1 | page=1,block=25 | 0.700 | valid |
| What condition is linked to AV conduction disease? | Associated neuromuscular disease | AV CONDUCTION DISEASE • Complete heart block, advanced AV block, or Mobitz Type II block • Associated neuromuscular disease SINUS NODE DYSFUNCTION • Symptomatic patients with sinus pauses > 3s long with symptom correlation or heart rate <40/min during awake hours | 91 | relationship | 0.890 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1771492063_bradyarrthymia13_2_2.pdf | AV CONDUCTION DISEASE • Complete heart block, advanced AV block, or Mobitz Type II block • Associated neuromuscular disease SINUS NODE DYSFUNCTION • Symptomatic patients with sinus pauses > 3s long with symptom correlation or heart rate <40/min during awake hours | 1 | page=1,block=25 | 0.700 | valid |
| What are some reversible causes of syncope or presyncope? | drugs ( Beta-blockers, Calcium Channel Blockers or digoxin) | • Syncope/presyncope: frequency, associated fall/ injury/incontinence • Exertional angina or known coronary artery diseas • Look for reversible cause like drugs ( Beta-blockers, Calcium Channel Blockers or digoxin) • Known hypothyroidism or kidney disease .. | 155 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1771492063_bradyarrthymia13_2_2.pdf | • Syncope/presyncope: frequency, associated fall/ injury/incontinence • Exertional angina or known coronary artery diseas • Look for reversible cause like drugs ( Beta-blockers, Calcium Channel Blockers or digoxin) • Known hypothyroidism or kidney disease .. | 1 | page=1,block=11 | 0.700 | valid |
| What are the findings on a 12-lead ECG that indicate symptomatic bradycardia? | Atrioventricular block • Sinus node dysfunction • Bundle branch blocks, tri-fascicular blocks • AF with CHB | Stop exogenous potassium, K sparing diuretics, NSAID, RAAS inhibitors 2. 10 ml of 10% calcium gluconate over 10 mins 3. IV insulin with glucose 4. IV sodabicarb 5. Salbutamol inhalation/ loop diuretics/ potassium binders 2. TEMPORARY PACEMAKER INSERTION (iv dopamine or isopranaline may be given till the time TPI can be placed) Findings on 12-lead ECG • Atrioventricular block • Sinus node dysfunction • Bundle branch blocks, tri-fascicular blocks • AF with CHB INDICATIONS FOR URGENT TREATMENT/REFERRAL GENERAL APPROACH TO PATIENTS WITH SYMPTOMATIC BRADYCARDIA | 355 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1771492063_bradyarrthymia13_2_2.pdf | TEMPORARY PACEMAKER INSERTION (iv dopamine or isopranaline may be given till the time TPI can be placed) Findings on 12-lead ECG • Atrioventricular block • Sinus node dysfunction • Bundle branch blocks, tri-fascicular blocks • AF with CHB INDICATIONS FOR URGENT TREATMENT/REFERRAL GENERAL APPROACH TO PATIENTS WITH SYMPTOMATIC BRADYCARDIA | 1 | page=1,block=11 |
| What are the steps for treating hyperkalemia with ECG changes? | Stop exogenous potassium, K sparing diuretics, NSAID, RAAS inhibitors | Stop exogenous potassium, K sparing diuretics, NSAID, RAAS inhibitors 2. 10 ml of 10% calcium gluconate over 10 mins 3. IV insulin with glucose 4. IV sodabicarb 5. Salbutamol inhalation/ loop diuretics/ potassium binders 2. TEMPORARY PACEMAKER INSERTION (iv dopamine or isopranaline may be given till the time TPI can be placed) Findings on 12-lead ECG • Atrioventricular block • Sinus node dysfunction • Bundle branch blocks, tri-fascicular blocks • AF with CHB INDICATIONS FOR URGENT TREATMENT/REFERRAL GENERAL APPROACH TO PATIENTS WITH SYMPTOMATIC BRADYCARDIA | 0 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1771492063_bradyarrthymia13_2_2.pdf | Stop exogenous potassium, K sparing diuretics, NSAID, RAAS inhibitors 2. | 1 | page=1,block=11 | 0.700 | valid |
| What pacing options are available for patients with AV conduction disease and a left ventricular ejection fraction above 50%? | VVI/Dual chamber pacing in patients with LVEF >50% | 1. SND with intact AV conduction - Atrial-based single or dual chamber pacing - VVI pacing is reasonable if symptoms are infrequent 2. AV Conduction disease - VVI/Dual chamber pacing in patients with LVEF >50% - CRT/LBBA pacing system pacing in patients with LVEF <40% | 159 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1771492063_bradyarrthymia13_2_2.pdf | AV Conduction disease - VVI/Dual chamber pacing in patients with LVEF >50% - CRT/LBBA pacing system pacing in patients with LVEF <40% | 1 | page=1,block=31 | 0.700 | valid |
| What pacing types are mentioned for sinus node dysfunction with intact AV conduction? | Atrial-based single or dual chamber pacing | 1. SND with intact AV conduction - Atrial-based single or dual chamber pacing - VVI pacing is reasonable if symptoms are infrequent 2. AV Conduction disease - VVI/Dual chamber pacing in patients with LVEF >50% - CRT/LBBA pacing system pacing in patients with LVEF <40% | 35 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1771492063_bradyarrthymia13_2_2.pdf | SND with intact AV conduction - Atrial-based single or dual chamber pacing - VVI pacing is reasonable if symptoms are infrequent 2. | 1 | page=1,block=31 | 0.700 | valid |
| What symptoms are mentioned in conjunction with a pulse rate below 50 bpm? | Syncope/ presyncope/ dizziness Lethargy/ fatigue | Patient with any of the following symptoms, AND a pulse rate < 50bpm: (persis- tent) Syncope/ presyncope/ dizziness Lethargy/ fatigue EVALUATION AND MANAGEMENT OF STABLE PATIENTS EVALUATION AND TREATMENT OF UNSTABLE PATIENTS | 85 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1771492063_bradyarrthymia13_2_2.pdf | Patient with any of the following symptoms, AND a pulse rate < 50bpm: (persis- tent) Syncope/ presyncope/ dizziness Lethargy/ fatigue EVALUATION AND MANAGEMENT OF STABLE PATIENTS EVALUATION AND TREATMENT OF UNSTABLE PATIENTS | 1 | page=1,block=4 | 0.700 | valid |
| What tests are recommended for a patient presenting to PHC/CHC? | 12-lead ECG • Blood urea, serum creatinine • Electrolytes • Blood sugar • TSH | Sleep aponea • Patient with an implanted pacemaker or other device • Drowsiness/ impaired consciousness • Pulse, BP Patient presenting to PHC/CHC: • 12-lead ECG • Blood urea, serum creatinine • Electrolytes • Blood sugar • TSH HISTORY EXAMINATION TESTS TO BE DONE • Hypotension (SBP <90 mmHg), impaired consciousness or ongoing chest pain • Recurrent or ongoing syncope/presyncope • Associated headache with or without neurologic deficit (suspect intracranial event) • Patient with a pre-existing device • If ECG available, evidence of any of the following - Complete heart block - Sinus node disease with pauses >3 s long - Bradycardia (HR < 50 bpm) 1. TREATMENT OF ASSOCIATED CONDITIONS - Suspected drug (BB or CCB) overdose: • Withhold the drug - Hyperkalemia(serum K+>6meq/l orwith ECG chages of hyperkalemia) 1. | 149 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1771492063_bradyarrthymia13_2_2.pdf | Sleep aponea • Patient with an implanted pacemaker or other device • Drowsiness/ impaired consciousness • Pulse, BP Patient presenting to PHC/CHC: • 12-lead ECG • Blood urea, serum creatinine • Electrolytes • Blood sugar • TSH HISTORY EXAMINATION TESTS TO BE DONE • Hypotension (SBP <90 mmHg), impaired consciousness or ongoing chest pain • Recurrent or ongoing syncope/presyncope • Associated headache with or without neurologic deficit (suspect intracranial event) • Patient with a pre-existing device • If ECG available, evidence of any of the following - Complete heart block - Sinus node |
| What type of heart block is associated with AV conduction disease? | Complete heart block, advanced AV block, or Mobitz Type II block | AV CONDUCTION DISEASE • Complete heart block, advanced AV block, or Mobitz Type II block • Associated neuromuscular disease SINUS NODE DYSFUNCTION • Symptomatic patients with sinus pauses > 3s long with symptom correlation or heart rate <40/min during awake hours | 24 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1771492063_bradyarrthymia13_2_2.pdf | AV CONDUCTION DISEASE • Complete heart block, advanced AV block, or Mobitz Type II block • Associated neuromuscular disease SINUS NODE DYSFUNCTION • Symptomatic patients with sinus pauses > 3s long with symptom correlation or heart rate <40/min during awake hours | 1 | page=1,block=25 | 0.700 | valid |