Exam Yield

Probability of getting 1 Question from this chapter 206%

You are likely to get 2 questions on Arrhythmia.

If you combine general ECGs too ( including ischemia and electrolyte abnormalities ), that is almost 4 questions – 16 golden marks towards you target.

Question Pattern

ECGs have a logic to them, and it is a fun exercise to figure out stuff from ECG.

You will be asked about popular and common patterns, not obscure findings in ECG.

Once you identify the ECG, the question may have a second part – how do you manage the arrhythmia, or what could have caused this.

For that you have to know about

  • Mechanisms of common arrhythmias
  • Syndromes like WPW, Torsades de Pointes
  • Types and mechanisms of Heart Block
  • Common drugs used in each type of arrhythmia & Heart Block

Recent Questions

Questions on this chapter from recent NEET and AIIMS examinations have been about
  • ECG in Multifocal Atrial Tachycardia
  • V-Tach – Rx
  • Fusion Beat – ECG
  • Sick sinus syndrome
  • WPW syndrome – Overview
  • AF & Digitalis Toxicity
  • Torsade De Pointes – Causes,ECG, Rx
  • Types of Heart block
  • Bundle of Kent
  • AICD indications
  • Brugada syndrome
  • PVC types
  • Alcohol & AF
  • PSVT – Rx
  • Causes of AV block
  • AV Node Re-entrant Tachycardia – ECG and Rx
  • DOC for PSVT
  • Rx for PSVT
  • WPW with AF – Rx
  • Atrial Flutter – ECG
  • MC SVT

Suggested Revision

Revise the following concepts

  • Accessory pathways
  • Arrhythmias caused by accessory pathways
  • Accelerated idioventricular rhythm
  • Sudden cardiac death
  • V-Tach – Types and ECG
  • Wide QRS Ventricular Tachy – Causes
  • Romano-Ward syndrome
  • SVT – Types & Classification
  • Paroxysmal SVT – Features, Types
  • Drugs in AF in various scenarios

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