Archive of Didactics

Thank you Dr. Tu for an excellent presentation of ischemic stroke due to septic emboli from infective endocarditis Teaching Points: CNS complications of infective endocarditis can occur in 20-40% patients Etiology: occlusion of cerebral arteries by septic emboli, cerebral hemorrhage, meningitis,…

Thank you Dr. Janoian for a great presentation on the progression of myocardial infarction. Teaching Points: pathologic outcomes of MI: arrhythmia, ischemic cardiomyopathy with or without cardiogenic shock, mechanical dysfunction/complications, pericarditis mechanical complications: papillary muscle rupture, ventricular free wall rupture,…

Thank you Dr. Layoun for an excellent presentation on arrhythmogenic right ventricular cardiomyopathy/dysplasia

Teaching Points:

• ARVD is a genetic cardiomyopathy with mutations in desmoglein-2, desmoplakin, desmocollin-2, plakophilin, etc
• Characterized by life-threatening ventricular arrhythmias (monomorphic VT)
• ECG: QRS prolongation (in right precordial leads), RBBB morphology, Epsilon Wave (distinct wave between QRS and T waves, seen in precordial leads, V1 is the best spot)
• Treatment: refrain from high intensity exercise, low dose beta-blocker, ICD for secondary prophylaxis in patients with history of VT or VF