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;
What is the next step?
17 y/o girl underwent catheterization for evaluation of congenital heart disease. Catheterization is shown:
Which one of the following congenital anomaly could NOT explain this catheterization course?
A 62 year-old-man was referred with a history of palpitations, LVEF=40%, and mild coronary artery disease. Two sets of ECG are shown.
Which of the option is NOT evident in these ECGs?
A middle-aged lady came with palpitations, three ECGs are shown below:
What is your diagnosis?
Below you can find the sparkle mapping of a case of unsuccessful CCW flutter ablation.
what is the wrong statement?
35 y/o man underwent echocardiography for evaluation of nocturnal chest pain. Echocardiography is shown:
Based on the echocardiography, which one is NOT seen in this patient?
A 58-year-old male with a history of AVR, underwent implantation of a dual-chamber pacemaker from the right side of the chest. At the time of implantation, before leads screwing (Attachment of Leads to Device header) and placing the pacemaker in the pocket , the atrial lead impedance was 650 ohms. After placing the pacemaker in the pocket, suturing, and dressing the wound, reprogramming was performed. This time, the atrial lead impedance was 1750 ohms. Chest X-rays of the patient during implantation and after implantation are available.
What is the most likely diagnosis?
45 years old man with recurrent palpitations, underwent EPS. Two EP tracings are shown below:
Which Arrhythmia is unlikely?
A 24-year-old patient with PVC burden of 33%, low LVEF=20%, ECG and echo are shown.
what is the best strategy for the patient?
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.
What is the most likely diagnosis?
A 35 y/o man is candidated for ETT for evaluation of his chest pain. His baseline ECG before ETT was shown:
What is the Rhythm?
a 42 year old male came to our ED with the chief complaint of palpitation, ECG of his arrhythmia and after adenosine injection is shown below :
According to his ECG, which arrhythmia is not possible in this patient?
A 62 years old man came to ED with palpitations, he was hemodynamically stable, two serial ECG was taken and shown bellow:
Which drug would be the best choice?
A 78 year old lady with history of diabetes mellitus, hypertension, heart failure (ejection fraction about 30 percent), COPD and no documented history of arrhythmia has been admitted due to combined COPD exacerbation and decompensated heart failure. baseline ECG is shown below. after 3 days of admission she experienced palpitation and ECG during palpitation is also shown.
What is the most correct diagnosis and management?
A 24-year-old patient with LVEF=30%, DOE FC2, No palpitations. below you can find the resting ECG.
What is your plan?
Below is a video showcasing an episode of tachyarrhythmia recorded by an ICD in a middle-aged man.
What statement is WRONG about this tachycardia episode?
A middle aged lady,came to our clinic with chief complaint of multiple episodes of palpitation.
here are the EP tracings.
Which arrhythmia is the least possible diagnosis?
A 56-year-old male was referred for an arrhythmia. Here you can find the 24h ECG Holter.
The patient had no complaint of palpitation.
What is the best diagnosis?
A 61-year-old man with a history of CABG is a candidate for elective cholecystectomy. He is relatively asymptomatic, and the 12-lead ECG is provided below.
What is your plan?
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.
Which diagnosis is most probable?
In Loving Memory of
Dr. Maryam Khoshnevis
MD, Cardiologist
Fellowship of Echocardiography
Faculty member of TUMS