LE QUIZ

QUESTION #1

A RECENT REFERRAL FOR AN OUT-PATIENTEXERCISE STRESS TEST

EXAMINATION

• OVERWEIGHT

• BP 120/70; PULSE 84 BPM, VENOUS PRESSURE INVISIBLE, NO PERIPHERAL OEDEMA

• NO CARDIAC MURMURS

DIFFERENTIAL DIAGNOSIS

• CARDIAC

• RESPIRATORY

• OTHER

CTPA= Extensive Bilateral Pulmonary Emboli

A CARDIOLOGIST’S DREAM LUNCH!

QUESTION # 2

THE FRENCH PARADOX

THE FRENCH (AUSTRIAN) PARADOX

PATE DE FOIS GRAS VIENNESE COFFEE SACHERTORTE

NZ Coronary Mortality Better or Worse Than?

1. Russia

2. Australia

3. United Kingdom

4. France

5. Switzerland

• New Zealand 76.5

• Australia 60.3

• USA 80.5

• UK 68.8

• Austria 72.7

• France 29.2

• Switzerland 52.2

• Italy 51.7

• Japan 31.7

• Russia 296.7

Per 100,000

What is the American Paradox?

The American Healthcare Paradox

QUESTION # 3

• Recurrent Syncope at rest lasting around 30-40 secs

• Loss of urinary control

• Eyes rolled upwards

• No definite epileptiform movements

• Past history of mild Aortic Stenosis

• Seen 1 year previously- no diagnosis

What Test or Tests?

Female, aged 91 yrs

Resting ECG

Continuous Holter Strips associated with syncope

What is the Diagnosis?

What is the Prognosis?

What is the Treatment?