A 72 year old woman is brought to your Emergency Department after a syncopal episode.
a. Describe and interpret her ECG (50%) b. Outline your disposition considerations (50%)
FACEM VAQ Exam 2009.1 – Question 1
- The overall pass rate for this question was 26/81 (32.1%)
- ECG showing first degree heart block, left axis deviation and RBBB.
- The examiner pair felt that this was a core EM scenario that was done very poorly by the majority of candidates.
- Pass criteria were to identify the ECG features above plus appreciate the conduction implications of this in the presence of syncope with need for monitoring and potentially pacing.