History:

50 y/o woman with history of dyspnea on exertion underwent catheterization.

Question:

According to video of her catheterization & your presumptive diagnosis for her procedure can you guess which chamber is enlarged?

Case #232-Motahare Hatami

History:

a 40 y/o man with a history of hybrid TEVAR operation underwent CT angiography for routine follow up:

CT angiography is shown:

Question:

In CT angiography there is an incidental congenital heart defect, can you guess what defect is shown?

Case #614-Ali Bozorgi

History:

A young lady with minimal preexcitation underwent EPS, EP tracings are shown below

Question:

What is the possible diagnosis?

Case #53-Ali Bozorgi

History:

An 80 years old man with history of Chronic Kidney Disease and Heart Failure, came to ED with weakness, loss of appetite, nausea.Recently Spironolactone and Valsartan added to his medications. ECG is shown.

Question:

What is your diagnosis?

Case #681-Aghil Zarbini

History:

A 19-year-old man with a history of smoking presented to the emergency department with chest pain and dyspnea that had been present for a few days. His vital signs were stable. An ECG is shown.

Question:

Which statement is true?

History:

You are visiting a patient in clinic, He recently underwent PCI for OM in another center & he complaining of at rest episode of chest pain, angiography was shown:

Question:

According to the angiography, which one is not a good choice for treatment of his chest pain?

Case #59-Ali Bozorgi

History:

A 40 y/o man with narrow complex tachycardia. Both ECG and EP tracing are shown.

Question:

What is your diagnosis?

Case #271-Ali Bozorgi

History:

A 29 years old man with Tachycardia and low LVEF(25%) underwent EPS and ablation, Surface ECG and EP tracing are shown.

Question:

What is probable etiology of cardiomyopathy?

Case #526-Ali Bozorgi

History:

A young girl with palpitations underwent EPS, below you can find the tracing of arrhythmia.

Question:

which kind of arrhythmia is NOT probable?

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?

Case #647-Shayan Shahi

History:

A 65-year-old gentleman with a history of ICMP ( EF:30%), came to our ED with a chief complaint of palpitation, His ECG is shown below :

Question:

According to his ECG, which one is the least possible diagnosis?

Case #363-Ali Bozorgi

History:

A 58-year-old patient with inferior STEMI. ECG is shown.

Question:

What is the rhythm? What is the reason for such a rhythm?

Case #56-Ali Bozorgi

History:

A 60 y/o lady, with complaints of recurrent everyday palpitations, 24h ECG Holter revealed several episodes of tachy arrhythmia, LVEF= 40%. One page of holter shown below:

Question:

What is the most probable etiology according to arrythmia behavour in ECG Holter?

Case #154-Ali Bozorgi

History:

A 63 y/o lady with LVEF=40% and Mild CAD, All ECG tracing showed irregular arrhythmia, three are shown:

Question:

What is the rhythm in this lady with tachycardia induced cardiomyopathy? 

History:

A 60 y/o lady underwent echocardiography for evaluation of chest pain.

Question:

What is your most likely diagnosis for our patient?

History:

A 21-year-old man suffered a cardiac arrest during physical activity. Cardiopulmonary resuscitation (CPR) was performed for a duration of twenty minutes, and the patient was subsequently transported to the hospital. According to the EMS personnel, the patient had a VT rhythm during cardiac resuscitation, as indicated by the electrocardiogram and echocardiography.

Question:

 Which option is incorrect?

Case #625-Ali Bozorgi

History:

A middle-aged patient with a history of atrial septal defect (ASD) repair underwent an electrophysiology study (EPS) with Precision. Below, you can find the propagation and sparkle map.

Question:

What is the most probable mechanism of arrhythmia? 

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 #91-Ali Bozorgi

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?

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?

In Loving Memory of

Dr. Maryam Khoshnevis

MD, Cardiologist

Fellowship of Echocardiography

Faculty member of TUMS

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