Download Cardiology Intensive Board Review by Leslie Cho MD, Brian P. Griffin MD FACC PDF

By Leslie Cho MD, Brian P. Griffin MD FACC

Ace your cardiovascular drugs certification or recertification examination with The Cardiology extensive Board evaluate query Book – the bestselling examination prep source from the Cleveland hospital! hundreds and hundreds of case-based evaluation questions, written within the similar structure because the ABIM cardiovascular medication forums, problem your wisdom of the complete diversity of themes you’ll face at the exam.

  • Ensure hugely special, high-yield instruction with content material components lined within the related share as these at the genuine exam.
  • Supplement gaps on your wisdom via exploring whole discussions of why each one resolution is right or improper, with references to the literature for extra study.
  • Assess your mastery of the newest themes with considerable new questions about cardiac catheterization, electrophysiology, congenital middle sickness, high blood pressure, and masses more.
  • Prepare successfully and successfully due to a uncomplicated full-color layout, choked with pictures and tables equivalent to these used at the boards.
Now with the print variation, benefit from the bundled interactive e-book variation, providing capsule, cellphone, or on-line entry to:
  • Complete content material with greater navigation
  • A robust seek that draws effects from content material within the booklet, your notes, or even the web
  • Cross-linked pages, references, and extra for simple navigation
  • Highlighting device for simpler reference of key content material through the text
  • Ability to take and percentage notes with neighbors and colleagues
  • Quick reference tabbing to save lots of your favourite content material for destiny use

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Sample text

In this tracing, the surface ECG shows NSR with second-degree type I AV block (Wenckebach). This pattern of block is usually localized to the AV node. However, in rare circumstances the block can occur within or below the His bundle. The wide QRS seen on the surface leads are a clue in this case that the patient has conduction disease below the level of the AV node; however, the site of block can only be determined by reviewing the His bundle recordings. In this situation, the HBE tracing shows progressive prolongation in the HV interval before it blocks in a 3:2 conduction pattern.

Antiarrhythmic drugs with use dependence, such as sotalol and dofetilide, have greater antiarrhythmic effect at slower heart rates. Consequently, drug efficacy is enhanced at the relatively slower rates in sinus rhythm, making these drugs more effective for prevention of AFib than those drugs with use dependence. Likewise, for proarrhythmia, the antiarrhythmic drugs with reverse-use dependence are more likely to produce ventricular proarrhythmia after conversion to sinus rhythm at the relatively slower sinus rate or with a postconversion pause.

B. CHB at the infra-Hisian (below the His bundle) level. In this tracing, there is NSR with CHB and a relatively wide escape rhythm. In the HBE tracing, each atrial deflection is followed by an initial His deflection and a third, smaller deflection, H', indicating that there is conduction delay within the His bundle itself. This is suggestive of significant His-Purkinje conduction disease. Therefore, the atrial impulse enters the AV node, conducts down to the His bundle (normal AH interval), where it encounters conduction delay (a “split” His made up of both an H and an H'), and then fails to propagate to the ventricle, indicating that the level of block is at or below the level of the bundle of His.

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