Surgery>>>>>Acquired Heart Disease
Question 4#

The following is NOT true ofleft ventricular aneurysms:

a. Rupture is extremely common
b. Angina is a common symptom
c. Embolic phenomenon is rare
d. Ventricular arrhythmias are common

Correct Answer is A

Comment:

Symptoms of left ventricle (LV) aneurysms include angina, congestive heart failure (CHF), ventricular arrhythmias, and rarely embolic phenomenon. Rupture is extremely uncommon. Patients generally present for coronary artery bypass or during evaluation of CHF or arrhythmias. While transthoracic echocardiography gives pertinent information regarding LV function, size, mitral valve function, and the presence of thrombus, it is generally accepted that cardiac magnetic resonance imaging (MRI) is the best diagnostic modality to accurately identify areas of scar and viable tissue, and to best define ventricular geometry.