A middle aged patient underwent EPS and Ablation for palpitation, ECG of arrhythmia before and after Adenosine are given with a trace of EP.
What is the most possible diagnosis?
A middle-aged patient underwent EPS for palpitations, EP tracings are shown below:
What is the etiology of the arrhythmia?
92 y/o frail man presented with unexplained syncope when sitting and also in supine position. LVEF=50%
ECG is shown.
What is your plan for the patient?
A 83 years old man (case #100) is presented with pacemaker malfunction.
Reports of PPM analysis are shown.
Based on programming results which diagnosis is unlikely?
A 50 y/o female patient admitted with atypical chest pain.
ECG is shown:
The ECG findings are most consistent with which ONE of the following diagnoses?
A young patient underwent EPS for paroxysmal SVT, Parahisian Pacing maneuver is shown:
According to the result of this maneuver, what is the most probable Arrhythmia?
A 60 years old man, Hx of Hypertrophic Cardiomyopathy, Mild CAD presented by recurrent palpitations converted to sinus rhythm with adenosine but reinitiate again. ECG is shown.
Which diagnosis would be most probable?
A 72_years_old female is referred to ED with epigastric pain, nausea and vomiting, confusion, general weakness, and blurred vision. She does not know her past medical history and the medication she takes.
ECG is shown:
What is your next preferred step for this patient?
A 72-year-old woman with episodic palpitations and a history of unsuccessful ablation two years ago was referred for further evaluation. Below is the episode of arrhythmia induced during the EPS (speed: 50 mm/sec).
Which statement is correct?
70 y/o man with history of COPD & CHF came to ED complaining of palpitation. ECG is shown:
What is the rhythm?
A patient with frequent palpitations underwent EPS you can see the EP tracing below:
What is the most probable diagnosis?
A 43-year-old gentleman with a known case of Apical HCM underwent 48-h ECG holter monitoring for SCD risk stratification.
Below is one shot from his ECG Holter Monitoring :
Which one is the best next step?
An octogenarian male patient with a medical history of diabetes mellitus, cigarette smoking, and opium addiction presented to the clinic with a chief complaint of exertional dyspnea that has been occurring for the past two months. The patient's dyspnea occurs during physical activity and is classified as NYHA functional class II. Also the ECG can be seen below.
Which of the following is the best diagnostic procedure according to the history?
A 63 years old man with normal LVEF and history of palpitations and dizzi spells, underwent EP study.
ECG and EP tracing are shown :
According to EPS what is your diagnosis and next step of treatment?
A 42 y/o male patient with history of atypical chest pain underwent coronary angiography due to positive ETT.
One view from RCA is shown below.
What do you think about the branch that is marked in the picture?
A 40-year-old man complained of shortness of breath and orthopnea during the last week. He had no usual cardiovascular risk factors, no history of medication, supplement, or drug use, and no history of recent viral infection.
The patient's appearance is significantly different from other family members (e.g. he is taller than his brothers.)
In the electrocardiogram, sinus tachycardia was seen.
In the echocardiography, EF=20% was reported and there was no evidence of LVH.
In the coronary angiography, there were no coronary lesions.
Based on his physical appearance, Which finding of the patient seems incorrect?
Analysis was conducted on a middle-aged patient who experienced an ICD shock; the corresponding tracing is provided below:
Which statement is wrong?
A 65 years old man admitted for frequent ICD shock, one episode of tracing shown below (movie)
What is the best explanation for the shock?
An 84-year-old woman underwent a TAVR procedure. The day after the procedure, you visited the patient, and her ECG is shown below:
Note: The post-TAVR LBBB was transient, lasting only for 2 hours after the procedure
What is the best next step?
A 67 years old male with hx of CABG 10 years ago and PTE last year (since then he is on anticoagulant therapy), presented to ER complaining of ACP. ECG is shown below;
What is the next step?
In Loving Memory of
Dr. Maryam Khoshnevis
MD, Cardiologist
Fellowship of Echocardiography
Faculty member of TUMS