History:

30 y/o female patient underwent catheterization.

two shots of her catheterization were shown:

Question:

What is the patient diagnosis?

Case #150-Ali Bozorgi

History:

45 years old man with recurrent palpitations, underwent EPS. Two EP tracings are shown below:

Question:

Which Arrhythmia is unlikely? 

Case #511-Ali Bozorgi

History:

A 53 years old man with a history of CAD and PCI came to the emergency department with loss of consciousness, successful CPR was performed. Below you can find some ECGs obtained from him. He was opium user, recently changed to Methadone.

Question:

Which statement is NOT correct?

Case #657-Sarah Taaghi

History:

17 years old girl, was referred for EP study due to episodes of palpitations. 

bellow you can find tracings of arrhythmia, which was induced during EPS.

Question:

What is the most probable diagnosis, and which electrophysiologic phenomena is happening?  

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?

Case #337-Ali Bozorgi

History:

An EP tracing of a patient with arrhythmia is shown.

Question:

What is the beat encircled?

Case #76-Ali Bozorgi

History:

A 31 years old man was admitted to hospital with Non-STEMI. He had no known coronary artery disease (CAD) risk factors, but had a history of prolonged unexplained febrile disease when he was five years old. Coronary angiography performed. Two shots are given below.

Question:

What is the most likely etiology?

Case #541-Samane Mohamadi

History:

A 39-year-old woman is experiencing paroxysmal palpitations. Below are the electrophysiological (EP) tracings.

Question:

What is the most probable diagnosis?

Case #654-Sarah Taaghi

History:

A 56 years old male patient with palpitations and frequent PVCs on surface ECG with PVCs burden of 40% on Holter monitoring , referred for ablation. Below you can find the  surface electrocardiogram.

Question:

Based on the surface ECG , what is the most possible localization for PVCs.

Case #366-Ali Bozorgi

History:

A 17-year-old girl with palpitations underwent EPS, Two tracings of basic ECG and arrhythmia are shown.

Question:

What is the etiology of arrhythmia?

Case #662-Sarah Taaghi

History:

During electrophysiology study, arrhythmia is easily induced with atrial burst pacing. You can find the tracing in below.

Question:

what is the correct statement?

Case #95-Kaveh Hosseini

History:

A 63 years old male came to emergency department with typical chest pain from 2 days ago. Urgent coronary angiography was done. 

Question:

What does coronary angiogram show? 

History:

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

Question:

What is your most likely diagnosis for our patient?

Case #86-Ali Bozorgi

History:

A 23 y/o man underwent EPS and ablation for preexcitation, ECG and injection in coronary sinus are shown.

Question:

Where is accessory pathway localization? What anomaly is seen in CS venogram?

Case #651-Ali Bozorgi

History:

A 79-year-old man with palpitation underwent EPS, below you can find EP tracing.

Question:

What is your diagnosis base on EP tracing:

Case #243-Motahare Hatami

History:

Sad day at the emergency department unit!

18 y/o girl came to ED complaining of worsening dyspnea since two weeks ago. She claimed that she could not sleep at all because of dyspnea. In her medical records, according to chronic cough, she was recently underwent a biopsy of the lymph node in her mediastinum, and the results showed lymphoproliferative disorder.

Her vital sign: HR=140 beat/min  BP=90/60   O2saturation=93 %    RR=30

An ECG & echocardiography was done immediately.

 

Question:

which statement is NOT true about the patient?

Case #637-Shayan Shahi

History:

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

Question:

What is the best next step?

Case #463-Ali Bozorgi

History:

A 54 years old man with a history of STEMI and primary PCI months ago presented with palpitations, Rest ECG and the arrhythmia ECG are shown : 

Question:

What is the most possible diagnosis?

Case #668-Sarah Taaghi

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:

A 50 y/o man underwent echocardiography for assessment of heart murmur.

Question:

What is your most likely diagnosis?

In Loving Memory of

Dr. Maryam Khoshnevis

MD, Cardiologist

Fellowship of Echocardiography

Faculty member of TUMS

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