ECG Changes and Right Sided Heart Failure Quiz
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Questions and Answers

What should not be given in right-sided heart failure due to its fluid-dependent nature?

  • ACE inhibitors
  • Beta blockers
  • Diuretics
  • Nitrates (correct)
  • Which ECG marker is indicative of transmural myocardial injury?

  • T wave inversion
  • Q waves
  • ST segment elevation (correct)
  • ST segment depression
  • What does ST segment depression typically reflect in terms of myocardial injury?

  • Healthy myocardium
  • Myocardial infarction
  • Subendocardial injury (correct)
  • Transmural injury
  • Which of the following represents a pathologic Q wave indicating myocardial necrosis?

    <p>Q wave that is ⅓ height of the R wave</p> Signup and view all the answers

    In the context of myocardial injury, when would troponin levels typically start to rise?

    <p>1-2 hours after injury</p> Signup and view all the answers

    Why is it important to avoid giving nitrates in right-sided heart failure?

    <p>They decrease cardiac output</p> Signup and view all the answers

    Which medication should be avoided in a patient with an inferior wall myocardial infarction?

    <p>Nitrates</p> Signup and view all the answers

    What does ST depression on an ECG indicate?

    <p>Myocardial ischemia</p> Signup and view all the answers

    Which of the following ECG changes represents acute myocardial injury?

    <p>ST elevation</p> Signup and view all the answers

    What is the best treatment for a patient with ST segment elevation in anterior leads and positive troponin?

    <p>Cardiac catheterization</p> Signup and view all the answers

    In a patient with chest pain and ST elevation in leads II, III, and aVF, what should NOT be included in the treatment?

    <p>Thrombolytics</p> Signup and view all the answers

    What does the presence of Q waves in an ECG suggest?

    <p>Prior myocardial infarction</p> Signup and view all the answers

    What is the BEST TEST for evaluating heart failure with reduced ejection fraction?

    <p>Echocardiogram (Doppler)</p> Signup and view all the answers

    Which type of myocardial infarction is characterized by ST elevation in leads I, aVL, V5, and V6?

    <p>Lateral wall</p> Signup and view all the answers

    Which therapy is recommended for decreasing mortality in heart failure patients?

    <p>Beta Blockers</p> Signup and view all the answers

    Which leads show characteristic findings of an anterior wall myocardial infarction?

    <p>Leads V1 - V4</p> Signup and view all the answers

    Which pharmacological therapy can help alleviate symptoms in heart failure patients?

    <p>Loop Diuretics</p> Signup and view all the answers

    What nonspecific finding is commonly observed in ECGs of patients with diastolic heart failure?

    <p>Normal EKG</p> Signup and view all the answers

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