Case #105-Ali Bozorgi

History:

A 68 years old lady, with history of single chamber implantation years ago, underwent CABG. Post-op ECG is shown.

Question:

What is your diagnosis? What is your next plan?

History:

A 40 y/o man known case of hypertrophic cardiomyopathy came to your clinic for consultation for ICD implantation.He was undergone 48 h ECG holter monitoring.

Question:

According to figure below what is your suggestion?

Case #604-Ali Bozorgi

History:

A 49-year-old physician experiencing frequent palpitations and having undergone an unsuccessful ablation in another hospital. The arrhythmia tracing, programmed RV stimulation, and LV pacing are provided below.

Question:

Which statement is TRUE?

Case #127-Yaser Jenab

History:

A 44-year-old lady with history of exertional dyspnea FC 1-2  referred for interventional cardiac procedure. She complained DOE from 2 years ago. Trans thoracic echocardiography showed mild LV dilation with normal function and normal pulmonary artery pressure.

Question:

Which procedure was done for the patient?

History:

A 30 y/o woman underwent echocardiography for evaluation of dyspnea. She claimed that her dyspnea worsens while lying on the left side.

Question:

What is the most likely diagnosis?

Case #649-Shayan Shahi

History:

A 57-year-old gentleman with a history of NICMP ( EF:20%) underwent ICD implantation three years ago due to episodes of VT and came to our ED with a chief complaint of multiple episodes of ICD Shock.

Below are four shots of his arrhythmia episode:

Question:

What is the diagnosis?

Case #199-Sarah Taaghi

History:

A 50 y/o male patient was admitted in the ICU, due to severe head trauma. He was unconscious (GCS:6) and his past medical history was not clear.
His SBP was 145 mmHg at the time of admission.Emergent craniotomy and hematoma drainage was performed and he was stable in the first day.

Cardiology consult was requested due to rise in Troponin level and ECG changes. 
In day 2, he became hypotensive, that was refractory despite initiating vasopressor agent.
You can find brain CT scan and ECG below.

 

Question:

What’s the best choice ?

Case #81-Ali Bozorgi

History:

A 66-year-old woman presented to our emergency department with acute onset of chest pain and dyspnea that had started 6 h earlier.  BP = 120/70 mm Hg, HR=113 beats/min, RR 26/min.  O2 saturation 92% in room air. She had a coronary angiography the day before arrival. Twelve lead ECG and Right-sided ECG and Angiography shots of RCA are shown.

Question:

What is the most likely diagnosis?

Case #49-Ali Bozorgi

History:

A 35 years old pregnant lady came to ED with Narrow Complex Tachycardia (ECG below)

Echocardiography showed LVEF=35%

Question:

What is the most probable diagnosis?

Case #615-Ali Bozorgi

History:

A middle-aged lady with frequent palpitations, EP tracings are shown below.

Question:

What is the most probable diagnosis?

Case #5-Ali Bozorgi

History:

39 years old man referred for RF ablation after an unsuccessful ablation in another center

ECG showed wide complex tachycardia. Normal sinus rhythm ECG was also given.

 

Question:

According  to NSR ECG and arrhythmia what is the most probable diagnosis?

Case #340-Ali Bozorgi

History:

A young lady came with palpitations, she had a previous session of RF ablation 6 years ago for WPW. ECG is shown.

Question:

According to the ECG, what is the diagnosis?

Case #381-Ali Bozorgi

History:

A middle-aged patient came to ED for an ICD shock. The tracing of shock delivery is shown:

Question:

what is your interpretation?

Case #100-Ali Bozorgi

History:

A 83 years old man with history of dual chamber pacemaker implantation 6 months ago presented with dizziness and syncope. ECG is shown.

Question:

In regard to ECG which statement is FALSE?

Case #477-Ali Bozorgi

History:

A middle-aged lady came to the clinic with atypical chest pain.ECG is shown below:

Question:

What is WRONG about the ECG?

History:

A 51-year-old diabetic woman presented with a complaint of chest pain.Based on the ECG coronary angiogram performed.

 

 

 

Question:

Based on the ECG and Coronary angiogram,what is the next step?

Case #241-Ali Bozorgi

History:

A 73 years old lady, history of CABG 5 years ago, consulted for this ECG to perform RF ablation,

Question:

What is your diagnosis and management?

Case #385-Ali Bozorgi

History:

A young patient came with palpitations and narrow complex tachycardia, 12 lead ECG is shown below:

Question:

What is the most probable diagnosis?

History:

This ventriculogram + aortogram belongs to a 36 Y/O  lady with recent shortness of breath and worsening dyspnea of exertion.

 

Question:

Which statement goes true for this patient?

History:

A 50 y/o female patient admitted with atypical chest pain.

ECG is shown:

Question:

The ECG findings are most consistent with which ONE of the following diagnoses?

In Loving Memory of

Dr. Maryam Khoshnevis

MD, Cardiologist

Fellowship of Echocardiography

Faculty member of TUMS

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