(FIT)-Module 4 Workshop 6: Electrocardiographic and Electrophysiological Correlations-Gerstenfeld Case 6 Answer

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Video Summary

The correct answer here is B, diltiazem. This first ECG, again, is important message not to forget, it's a regular, it's true, but just massive, you know, it may look like a wide QRS, but I think if you look at the lateral pericardial leads, you'll see this is massive at ST elevation. A woman having chest pain and syncope, you know, this is, and then 30 minutes later, it's already resolved in this classic coronary spasm. So calcium channel blockers would be first-line therapy, often together with nitrates. For something this dramatic in someone having syncope, I would also consider an ICD as a backup because drugs aren't completely preventative of potential cardiac arrest. Okay, I hope those questions were helpful in terms of thinking about and studying for the boards. Thank you so much for your attention. Thank you.

Keywords

diltiazem

ECG

ST elevation

coronary spasm

calcium channel blockers