Skip to main content

MCQ 10: Holiday heart syndrome

Q. Most common arrhythmia in Holiday heart syndrome is?
A. Atrial flutter
B. Atrial fibrillation
C. Ventricular tachycardia
D. Ventricular fibrillation


Ans: B


Explanation:
Holiday heart syndrome is defined as an acute cardiac rhythm and/or conduction disturbance, most commonly supraventricular tachyarrhythmia in the form of atrial fibrillation, associated with heavy ethanol consumption in a person without other clinical evidence of heart disease. Typically, this resolves rapidly with spontaneous recovery during subsequent abstinence from alcohol use.

Comments

Popular posts from this blog

ECG Quiz

Case History:  A 46-year old female presents with history of palpitations.  At the time of palpitations, she also had rapid neck pulsations.  She presented to emergency and an ECG was done.  What are the findings?  What is the diagnosis?   Click here to reveal the answer The ECG shows a regular narrow complex tachycardia (ventricular rate of approximately 250/min). The P waves are not clearly visible, but there is a small deflection at the end of QRS in various leads. In lead I, this is pseudo r' and in leads this is pseudo s wave. The patient was found to have AVNRT on EPS and slow pathway was ablated successfully.  

ECG of Acute Pulmonary Embolism

 Case 1. A 23-year old gentleman presented with history of chest pain and shortness of breath.  This was the ECG at the time of presentation.  What are the findings? What is the diagnosis? Answer: ECG shows Sinus tachycardia and S1Q3T3 pattern.  S1Q3T3 pattern is a specific sign of acute pulmonary embolism. CTPA confirmed the diagnosis.   Patient underwent thrombolysis with Tenecteplase successfully with resolution of symptoms.

Peripartum Cardiomyopathy

Peripartum Cardiomyopathy  (PPCM) •         Usually develops in last month of pregnancy or first 5 months post-delivery. •         Presents as heart failure with reduced ejection fraction (dilated cardiomyopathy) ↳        LV EF < 45%  •         PPCM is a diagnosis of exclusion. •         Risk factors → 1-      History of Hypertension, Pre-eclampsia 2-      Black women •         Incidence → 1 in 2000 live births. •         Management → 1.       Guideline directed medical therapy for HF- Beta-blockers Hydralazine plus isosorbide dinitrate  Diuretics 2.       Bromocriptine 3.       Low threshold for anticoagulation 4. ...