The questions answered in this podcast are listed below.
They were compiled by GPs and health professionals around Australia.

1. What are the ECG signs, changes and symptoms that could potentially be missed? 

2. Is it true that this is where a good relationship with your local cardiologist that we can fax or send to, and have them identify an issue, rather than sit back and then refer?

3. Sustained palpitations can be subjected to own interpretation. How would you define them?

4. As a GP if you were concerned about a patient sitting in front of you, what would you do then and there?

5. How would you address the scenarios below:
   a. Scenario 1: My practice is not far from the hospital and the partner says I’ll drive. 
   b. Scenario 2: You're not near any hospitals. You could even be rural or semi-rural and you need to get that patient to an emergency that is half an hour away
   c. Scenario 3: 400-500 kilometres away and you're in a very rural area. Ambulances are difficult. It's a long distance. What would you do?

6. Prevention and risk factors. What are some of the non-ischemic heart disease risk factors that put patients at risk or fatal risk?

7. Case: Patient has not presented with these red flags, including the sustained palpitation, but informs you that he or she was doing a workout of some sort and had a syncopal episode. There's nothing there to suggest anything had happened to them, they just went to ground, had no idea what's going on until they did eventually wake up. How far should we go as GPs in cardiovascular examination and referral, and how quickly should we do that?

8. How many halters should be done in the patient with recurrent syncope before going in with a loop recorder?

9. What about iatrogenic prolongation of the QT intervals?

10. What is Wellen syndrome and what should we know about it?

 

Host: Dr David Lim | Total Time: 43 mins

Guest: Prof Rukshen Weerasooriya, Sub-specialist Cardiac Electrophysiologist

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