1. Cardiology Jeopardy
Don’t Go Failing My Heart
Acute Coronary Syndromes
Name that Rhythm
Cardiac Numbers
All About Valves
100
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2. Name That Rhythm - 100
Normal sinus rhythm

3. Name That Rhythm - 200
Complete heart block – p waves march through

4. Name That Rhythm - 300
Flutter with 4:1 conduction, make sure you count the “hidden” f waves

5. Name That Rhythm - 400
AVRT – Note inverted retrograde p waves

6. Cardiac Numbers - 100
Q: Indications for biventricular pacemaker-defibrillator placement include NYHA class III or IV heart failure, a QRS width greater than 120 msec, and an ejection fraction less than or equal to this percent.
What is 35%

7. Cardiac Numbers - 200
In asymptomatic patients, repair is indicated for abdominal aortic aneurysms with this transverse diameter or larger, or those demonstrating an expansion rate of more than 0.5 cm/year.
5.5cm

8. Cardiac Numbers - 300
Thrombolytic therapy has not shown a clear benefit for patients presenting more than this many hours from symptom onset.
12 hours

9. Cardiac Numbers - 400
Exercise stress testing is only diagnostic at an adequate workload, defined as achieving this percent of the maximum predicted heart rate.
85%

10. Don’t Go Failing My Heart - 100
A set of major and minor findings used to charaterize the clinical syndrome of heart failure, named after a landmark cardiologic study
Framingham Criteria

11. Don’t Go Failing My Heart - 200
While this class of medications has been shown to decrease mortality in Class III and IV heart failure patients, they were shown in a recent study to improve mortality even in patients with class I or II NYHA heart failure
Aldosterone antagonists

12. Don’t Go Failing My Heart - 300
Grade 2 diastolic heart failure is often referred to on echo reports as this
Pseudonormalization

13. Don’t Go Failing My Heart - 400
This electrocardiographic finding automatically disqualifies a patient for cardiac resynchronization therapy
RBBB

14. All About Valves - 100
Physical examination features of this disease includes a mid- to late-peaking systolic murmur, an S4, a single S2 and delayed timing and decreased amplitude in the carotid pulses (pulsus parvus et tardus)
Aortic stenosis

15. All About Valves -200
The echocardiographic appearance of the cardiac sequelae of this "hot" disease is one of commissural fusion, leaflet thickening, calcification, and restricted leaflet motion.

16. All About Valves - 300
This procedure, used to establish coronary perfusion and afterload reduction, is contraindicated in patients with aortic valve regurgitation
Intra aortic balloon pump

17. All About Valves - 400
In discussion of this syndrome, which is a constellation of nonspecific symptoms including palpitations, atypical chest pain, dyspnea, fatigue, orthostatic symptoms, and neuropsychiatric complaints, something usually clicks
Mitral valve prolapse

18. Acute Coronary Syndromes - 100
This process, thought to be responsible for most cases of in-stent restenosis, is the target for the drugs eluted by drug eluting stents
Intimal hyperplasia

19. Acute Coronary Syndromes - 200
Sometimes mistaken for ischemic ST elevation in the anteroseptal leads, this syndrome is a relatively rare but significant cause of sudden cardiac death, particularly in males of Southeast Asian descent
Brugada Syndrome

20. Acute Coronary Syndromes - 300
This constellation of findings includes biphasic t waves in the anteroseptal leads transitioning to inverted t waves in the anterolateral leads and often denotes an acute proximal LAD occlusion
Wellen’s Syndrome

21. Acute Coronary Syndromes - 400
A 67 year old male whose parents have no cardiac history; with a personal history of hypertension and current smoking who takes no medications and presents with severe intermittent crushing chest pain for the last two days, no ST changes, and an troponin of .6 has this TIMI risk score
3 – age, trop, >2 anginal episodes