HRS Board Review 2025 New Courses (Reviewers Copy)-Workshop 1_Electrocardio_Miller_2025

Workshop 1_Electrocardio_Miller_2025_case 4 answer

Video Transcription

Video Summary

The transcript discusses a patient's heart condition, identifying hisperkinesia disease due to conduction issues. The ECG reveals she has a second P wave deforming the T wave, consistent with two-to-one block and right bundle branch block, but not avian nodal disease. Her baseline ECG shows right bundle branch block and slight left axis deviation. Her heart responds appropriately to stress without chronotropic incompetence. The issue is identified in the hispokinesis system where P waves disrupt normal conduction, highlighting the persistent conduction problem affecting heart rate increase during exercise.

Keywords

hisperkinesia

ECG

right bundle branch block

conduction issues

two-to-one block