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First Aid for the USMLE Step 1 (2021)
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First Aid for the USMLE Step 1 (2021) | Physician Assistant (PA) School Study Aid

Page 315 -
5 Picmonics to Learn | 15 mins
Adenosine (Adenocard)
Mechanism
Slows AV Conduction
Indications
Supraventricular Tachycardia (Paroxysmal)
Side Effects
Bradycardia
Flushing
Dyspnea
Considerations
Rapid IV Push
Caffeine and Theophylline Decrease Effectiveness
Dipyridamole May Intensify Effects
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2 mins
Torsades de Pointes
Characteristics
Polymorphic Ventricular Tachycardia
Prolonged QT Interval
QRS Twist Around Isoelectric Line
Causes
Congenital
Antibiotics
Antiarrhythmics
Antipsychotics
Antidepressants
Electrolyte Deficiencies
Complications
Ventricular Fibrillation
Treatment
Stable: Magnesium Sulfate
Unstable: Defibrillation
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3 mins
Brugada Syndrome
Defective Myocardial Sodium Channels
Predominance in Asian Males
Autosomal Dominant
Pseudo-Right Bundle Branch Block Pattern
Persistent ST Elevations in Leads V1-V2
Risk of VTACH and Sudden Cardiac Death
Syncope
Management
ICD
Antiarrhythmics
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3 mins
Congenital Long QT Syndrome
PATHOGENESIS
Inherited Disorder of Myocardial Repolarization
Potassium (K+) Channel Mutations
SYMPTOMS
Prolonged QT Interval
Torsades de Pointes
Increased Risk of Sudden Cardiac Death (SCD)
TYPES OF SYNDROMES
Romano-Ward Syndrome
Autosomal Dominant
Pure Cardiac Phenotype (No Deafness)
Jervell and Lange-Nielsen Syndrome
Autosomal Recessive
Sensorineural Deafness
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4 mins
Wolff-Parkinson-White Syndrome
WPW Pattern vs. WPW Syndrome
Pathophysiology
Ventricular Pre-excitation Syndrome
Accessory Conduction Pathway
Signs & Symptoms
Supraventricular Tachycardia
Atrial Fibrillation
Diagnosis
Shortened PR Interval
Delta Wave
Widened QRS
Treatment
No Treatment if Asymptomatic
Treat Arrhythmia
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3 mins

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