History:
A 35 y/o man is candidated for ETT for evaluation of his chest pain. His baseline ECG before ETT was shown:
Question:
What is the Rhythm?
History:
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;
Question:
What is the next step?
History:
A 61 y/o man with history of CABG, referred to Emergency Department with palpitation.
LVEF=15%
Arrhythmia ECG and baseline ECG are shown.
Question:
What is the most likely diagnosis?
History:
A middle-aged man with frequent PVC, LVEF=35%, and previous unsuccessful ablation in another center underwent RF ablation with the guide of Precision.
Question:
Where is the source of origin of PVC?
History:
A 70 y/o man came to ED complaining of dyspnea on exertion from long time ago. He claimed that he had a prosthetic valve, no medical record is available. Fluoroscopy is shown.
Question:
Can you guess the type & position of prosthetic valve?
History:
Below you can find the movie of 3D mapping of atrial flutter performed with Ensite Precision.
Question:
Which statement is NOT correct?
History:
A 57 y/old woman was admitted with chest pain, dizziness, and DOE FC2 from one day ago
PMH: NEG., DH: covid vaccination 3 weeks ago
Bp:130/70 PR :78 RR :18 T:37 Sat:97%
Echocardiography: EF:55% ,mild MR. Mild to mod TR. TRG 26 PAP:31 no RWMA. NO LV clot
Lab data: cr:1.1 _LDL:157 _CRP :3.6 WBC:11500 _PMN:78% Trop: neg
He was referred to the cath lab for coronary angiography.
Angiogram is shown
Question:
Which diagnosis is most appropriate for this patient?
History:
An EP tracing of a patient with arrhythmia is shown.
Question:
What is the beat encircled?
History:
Below you can find the angiogram of a patient.
Question:
What would you not expect to find in an echocardiogram?
History:
A middle-aged man with ischemic cardiomyopathy and ICD implantation came with ICD firing. Programming performed.
Tracings are shown below.
Question:
Which statement is NOT correct?
History:
A 64-year-old woman, known to be hypertensive and on amlodipine, was diagnosed with breast cancer 6 months ago. She completed 6 cycles of chemotherapy, with the last one administered 4 weeks ago, in preparation for radical mastectomy and axillary clearance.
She presents to the cardiology clinic complaining of shortness of breath. On examination, her blood pressure is 105/80 mmHg, pulse is 90 bpm, and regular. Bibasilar crackles were noted on auscultation of her chest.
Her ECG showed non-specific ST changes in the anterior leads.
Question:
Based on this clinical presentation and the chest X-ray (CXR) shown below, what is your diagnosis?
History:
A 50-year-old woman was referred for an electrophysiology study due to frequent episodes of palpitations. Arrhythmia was induced with programmed stimulation, and below you can find tracings.
Question:
Which diagnosis is most probable?
History:
35 y/o man underwent EPS and RF ablation with diagnosis of posteroseptal accessory pathway. Below you see a tracing after RF ablation with injection of 12 mg Adenosine.
Question:
Which statement is TRUE about this tracing?
History:
An EP tracing of a patient with AVNRT is shown below:
Question:
What is your interpretation for the beat mentioned?
History:
A 50 years old lady with history of unsuccessful RF ablation underwent EP, Arrhythmia was easily inducible with programmed stimulation, below you can see surface ECG, Entrainment maneuver and also 3D mapping with precision:
Question:
What is the mechanism of arrhythmia?
History:
A 56-year-old male came to ER with palpitation since 1 hour ago.
Below you can find the arrival ECG.
Vital sign:Bp:126/75-PR:180_190
Question:
What is the suitable action?
History:
65 y/o man came to ED complaining of episode of typical chest pain.
ECG was shown:
Question:
According to ECG, can you guess the culprit vessel?
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:
A 12-year-old girl underwent an EPS procedure due to congenital heart disease.
RV gram is shown:
Question:
What is the wrong statement?
History:
An 18-year-old girl presented to the emergency room with a syncope episode while seated, lasting 20 seconds.
Question:
Considering the echocardiography and electrocardiogram (ECG) findings, which diagnosis is unlikely?
In Loving Memory of
Dr. Maryam Khoshnevis
MD, Cardiologist
Fellowship of Echocardiography
Faculty member of TUMS
