QuestionSBA
QuestionChoice
Wolff-Parkinson-White syndrome is a benign cardiac arrhythmia, characterised by palpitations and chest pain. It has a very specific ECG sign of QRS pre-excitation and biphasic or inverted T-waves.

It would not result in reduced ejection fraction or left ventricular hypertrophy.
10001988
b
Wolf-Parkinson-White Syndrome
QuestionChoice
This patient is most likely suffering from heart failure. Heart failure occurs when the heart is no longer able to pump blood out of itself as much as it used to.

This results in a reduced ejection fraction because the heart is pumping out less blood compared to before. There will be less blood leaving the heart per pump.

The ejection fraction is calculated as Stroke Volume / End Diastolic Volume.

Due to this reduced ejection fraction, the heart left ventricle will begin to hypertrophy, as it is working harder in an attempt to increase the volume of blood leaving the heart.
10001987
a
Heart Failure
QuestionChoice
Unstable Angina is characterised by chest pain at rest. It is similar to angina in that it is chest pain. However, in angina, the chest pain is brought on through exercise. In unstable angina, it occurs even when the patient is at rest.

Our patient is not complaining of chest pain - they are unlikely to have unstable angina.
10001991
e
Unstable Angina
QuestionChoice
Angina is a term used to describe chest pain upon exertion such as exercise. The patient is not experiencing angina as they are not reporting any chest pain.
10001990
d
Angina
QuestionChoice
An ST elevated myocardial infarction (STEMI) is a myocardial infarction in which there is ST elevation on the ECG.

Patients suffering from a STEMI will often experience chest pain, radiating to the left arm and jaw, nausea and sweating. Our patient is not suffering from any of these symptoms, therefore they are unlikely to be having a STEMI.
10001989
c
ST-Elevation Myocardial Infarction
Concept
Chapter
2693
3798
Heart Failure
Topic
134
Cardiology
12944
A 70-year-old man presents to General Practice after a recent echocardiogram showed a reduced ejection fraction and left ventricular hypertrophy. He is experiencing shortness of breath on exertion but denies any pain.

Which of the following describes this patient's most likely diagnosis?
a