45-year-old patient with Frequent PVC (30%) with LVEF=40%, underwent EPS ablation, below you can find Fleuoro shot of the ablation procedure :
Name the LOCATION of each catheter.
A 36 y/o young man came to ED complaining of retrosternal chest pain. His serial troponin enzyme came normal,he had no risk factor for coronary artery disease. he was also a professional athlete.
This ECG is most consistant with which one of the following?
A middle-aged patient came to ED for an ICD shock. The tracing of shock delivery is shown:
what is your interpretation?
An 80 years old lady with tachycardia, both resting ECG and arrhythmia are shown:
What is the diagnosis?
A 50 y/o man underwent echocardiography for assessment of heart murmur.
What is your most likely diagnosis?
A 28 years old man with preexcitation and episodes of palpitations. ECG is shown below:
Regarding to accessory pathway location, what procedure related complication does not threat the patient?
A 30 y/o woman underwent echocardiography for evaluation of dyspnea. She claimed that her dyspnea worsens while lying on the left side.
What is the most likely diagnosis?
A 83 years old man with history of dual chamber pacemaker implantation 6 months ago presented with dizziness and syncope. ECG is shown.
In regard to ECG which statement is FALSE?
A young woman underwent an electrophysiology (EP) study. Interpret the tracing below.
What is WRONG about this tracing:
50 y/o man underwent echocardiography for evaluation of orthopnea .
Trans-thoracic Echocardiography is shown.
which one is NOT seen in this echocardiography?
A 45 years old electrician with a history of ICD implantation, experienced ICD shock. Below you can find plot diagram and EGM of the event.
which statement is WRONG?
A 40 y/o man, with no previous PMH came to ED .He was referred by general practitioner for evaluation of AV block, the patient was asymptomatic and received no drugs.
The ECG was done during routine checkup.
What is your diagnosis and management?
A 35 years old man, presented by recurrent palpitations. Below you can see two traces from 24 ECG Holter monitoring and also a trace during Electrophysiology study.
Regarding these traces, which diagnosis is less likely?
17 y/o girl underwent catheterization for evaluation of congenital heart disease. Catheterization is shown:
Which one of the following congenital anomaly could NOT explain this catheterization course?
A 30 y/o man underwent catheterization for evaluation of congenital heart disease.
One shot of catheterization is shown:
Can you guess the catheterization course?
A 60 y/o man was admitted to hospital for elective cholecystectomy. During hospitalization suddenly he appeared to have sudden onset of chest pain. An ECG was done during chest pain, and your colleague request an emergent cardiology consult because of dynamic ECG change compare to the admission time ECG.
According to the patients ECG, where is the culprit vessel?
A 24-year-old patient with PVC burden of 33%, low LVEF=20%, ECG and echo are shown.
what is the best strategy for the patient?
A middle-aged patient with frequent PVC underwent EPS and ablation.
Based on 12 lead ECG which statement is NOT true?
85 y/o man came to emergency department complaining of episodes of palpitation. He had echocardiogram in his documents stating that he had a LV ejection fraction about 15%. ECG was shown:
what is your most likely diagnosis?
A middle-aged lady with a history of MVR and LVEF=25%, presented with frequent ICD firing, was candidated for eps ablation with Precision guide.
which statement is TRUE?
In Loving Memory of
Dr. Maryam Khoshnevis
MD, Cardiologist
Fellowship of Echocardiography
Faculty member of TUMS