Medical Academics

Welcome to the online mini course on  Basics of ECG Interpretation   conducted by Dept of Cardiology Rangaraya Medical College / Government General Hospital, Kakinada, Andhra Pradesh.  This online workshop is primarily meant for those who are joining MD Medicine.  It will provide a very basic and practical approach to interpreting common ECG abnormalities including Acute MI, Chamber hypertrophy, arrhythmias like AF, PSVT, VT, CHB, etc.  So pl do not expect anything heroic from this course.  A nominal fee of Rs. 300 to be paid  Attendance Certificate will be given to those who attend all the online sessions. An exam is optional - proctored online written exam & online viva voce. Exam fee is Rs600 and a Certificate of Proficiency will be awarded on passing the exam with 75% pass mark.  ***********8

Answer 001    We can start - Diuretic (though many dont start with this) or ACEI / ARB or Calcium Blocker  so we can start  Enalapril - 5mg half bid or       Ramipril - 2.5mg OD or        Losartan - 50mg half bid or       Telmisartan  20mg OD, etc.  or  Amlodipine - 5mg OD  after 1 week or 10 days, if BP doesnt come down below 160 /100 - we can increase dose  enlapril to 5mg bid.    Ramipril to 5mg OD.    losartan - to 50mg bid.  telmi to 40mg OD.  or  amlodipine to 10mg od  if still after one week no response - we can give 2 drugs  to ACEI/ARB - we can add diuretic  ramipril-H or losartan-H or telmisartan - H  (H is usually hydrochlorthiazide 12.5mg)  or add calcium blocker to the ACEI/ARB  Answer 002   HTN + angina  - Prefer - betablocker (metoprolol 12.5 to 25mg bid) or amlodipine 5mg OD if already on beta ...

  Question 001 -  Mention common anti hypertensive drugs - starting dose - how much you will increase (maybe every week or so - till target BP of about 130-140/80-90 is reached)  Question 002 -  Mention any anti-HTN drug you will prefer / any anti-HTN drug you will avoid in the following conditions - Hypertension Plus ______  a) Angina on exertion  b) Heart failure  c) Bronchial asthma  d) Creatinine elevated > 2.0 or so  e) Diabetes  Question 003 -  This 45 year male smoker & hypertensive pt came with chest pain and sweating from about 8 hours. BP120/80. Heart and lungs normal.  a) What is ECG diagnosis b) What findings made you make that diagnosis  c) Write a prescription for him in ICU -  d) if ECG was normal - what would you have done with this  pt? Question 004 -  Normal PR interval in mm & in secs  Question 005 -  Drug of choice for a pt with PSVT (paroxysmal supraventricular tachy...