Case #365-Ali Bozorgi

History:

You are visiting a patient with a dual chamber ICD. Tracing of arrhythmia event is shown.

Question:

What is the rhythm and what is the result of therapy?

Case #36-Ali Bozorgi

History:

A 46 years old man presented with dyspnea, hemoptysis, cough, syncope since 3 days ago. 

BP=100/60.  PR=120/min  O2 sat=93%  RR=30/min

ECG is shown.

Question:

What is your most probable Diagnosis?

Case #519-Samane Mohamadi

History:

A beautiful smart young doctor with frequent paroxysmal palpitations, EP tracing is shown below:

Question:

What is the diagnosis?

History:

A 35 y/o lady underwent echocardiography for evaluation of palpitation & Dyspnea on exertion.

Question:

What is the most likely diagnosis?

Case #47-Ali Bozorgi

History:

The patient is a case of HOCM , you will see part of ECG Holter monitoring.

Question:

What is the rhythm and what is your decision for the patient?

Case #339-Ali Bozorgi

History:

A 32-year-old patient with palpitations underwent EPS and ablation, below ECG during arrhythmia is shown:

Question:

What diagnosis is less possible?

Case #162-Ali Bozorgi

History:

A 65 years old man admitted for frequent ICD shock, one episode of tracing shown below (movie)

Question:

What is the best explanation for the shock?

Case #470-Ali Bozorgi

History:

A young boy underwent EPS for palpitations.EP trace of Ventricular pacing is shown below:

Question:

which statement is TRUE?

Case #334-Ali Bozorgi

History:

A 75 years old man came to the clinic with a complaint of dyspnea on exertion, ECG is shown below:

 

Question:

Based on ECG what would be expected in echocardiography?

History:

50 y/o man underwent echocardiography for evaluation of orthopnea .

Trans-thoracic Echocardiography is shown.

Question:

which one is NOT seen in this echocardiography?

Case #464-Hamid Khederloo

History:

A 59-year-old male was admitted to our emergency department with general weakness. He had been a heavy smoker (45 packs per year); however, he denied any past medical conditions and taking medication. On examination at first hospitalization, he was afebrile with respiratory rate, and blood pressure of 16 breaths/Min and 125/74 mmHg, respectively. He has a widespread wheeze of auscultation of the chest. 

Question:

What is the best next plan?

History:

A 39-year-old man was brought to the emergency department by ambulance with presentation of sudden and complete LOC.

Basic life support was perform before arrival at the hospital. Cardiac monitoring showed ventricular fibrilation and patient recieved defibrilation then pulse became detectable. The first ECG which was taken 3minutes after DC shock is shown below.

 

Question:

Which of the statments presented here is true about this patient?

Case #333-Ali Bozorgi

History:

A 68 years old lady underwent CRT-D implantation. Biventricular pacing is could not be achieved after implantation Fluoroscopy and chest X-Ray of the patient are given. ECG after implant also given:

Question:

What is wrong with the device?

History:

A 80 years old woman came to ED with Dizziness and Nausea.

Past Medical Hx : DM,HTN,CKD,CVA

ECG is shown:

Question:

What is your best diagnosis and treatment for this case ?

Case #234-Ali Bozorgi

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 :

Question:

According to EPS what is your diagnosis and next step of treatment?

Case #377-Ali Bozorgi

History:

Below you can find the EP tracing of a patient with narrow complex tachycardia.

Question:

Which one is not present in the tracing?

History:

A 70 y/o man with left upper quadrant and hemothorax pain from last night 

He had performed EVAR last year due to Abdominal Aorta Aneurysm

Bp:100/70 PR:100/min  RR:18  Room air O2 sat:94%

WBC:12700 PMN 78% Hb:6.7 PLT:177000

Cr:1.7, Negative Tn

Abdominopelvic CT with IV contrast was done

Question:

What is your diagnosis and treatment?

Case #624-Ali Bozorgi

History:

A 42-year-old man with frequent VTach underwent EPS and ablation. Below you can find LV gram before ablation.

Question:

which statement is FALSE: 

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?

History:

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.

Question:

Based on his physical appearance, Which finding of the patient seems incorrect?

In Loving Memory of

Dr. Maryam Khoshnevis

MD, Cardiologist

Fellowship of Echocardiography

Faculty member of TUMS

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