Case #512-Samane Mohamadi

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?

Case #119-Motahare Hatami

History:

17 y/o girl underwent catheterization for evaluation of congenital heart disease. Catheterization is shown:

Question:

Which one of the following congenital anomaly could NOT explain this catheterization course?

Case #364-Ali Bozorgi

History:

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.

Question:

Which of the option is NOT evident in these ECGs?

Case #479-Ali Bozorgi

History:

A middle-aged lady came with palpitations, three ECGs are shown below:

Question:

What is your diagnosis?

Case #553-Ali Bozorgi

History:

Below you can find the sparkle mapping of a case of unsuccessful CCW flutter ablation.

Question:

what is the wrong statement? 

History:

35 y/o man underwent echocardiography for evaluation of nocturnal chest pain. Echocardiography is shown:

Question:

Based on the echocardiography, which one is NOT seen in this patient?

Case #719-Siroos Nasiri

History:

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.

Question:

What is the most likely 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 #342-Ali Bozorgi

History:

A 24-year-old patient with PVC burden of 33%, low LVEF=20%, ECG and echo are shown.

Question:

what is the best strategy for the patient?

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 #132-Motahare Hatami

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?

Case #628-Shayan Shahi

History:

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 : 

Question:

According to his ECG, which arrhythmia is not possible in this patient?

Case #25-Ali Bozorgi

History:

A 62 years old man came to ED with palpitations, he was hemodynamically stable, two serial ECG was taken and shown bellow:

Question:

Which drug would be the best choice?

Case #669-Aghil Zarbini

History:

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.

Question:

What is the most correct diagnosis and management?

Case #566-Ali Bozorgi

History:

 A 24-year-old patient with LVEF=30%, DOE FC2, No palpitations. below you can find the resting ECG. 

Question:

What is your plan?

Case #652-Ali Bozorgi

History:

Below is a video showcasing an episode of tachyarrhythmia recorded by an ICD in a middle-aged man.

Question:

What statement is WRONG about this tachycardia episode?

Case #664-Samane Mohamadi

History:

A middle aged lady,came to our clinic with chief complaint of multiple episodes of palpitation.
here are the EP tracings.

Question:

Which arrhythmia is the least possible diagnosis?

Case #514-Samane Mohamadi

History:

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.

Question:

What is the best diagnosis?

Case #630-Ali Bozorgi

History:

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.

Question:

What is your plan?

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?

In Loving Memory of

Dr. Maryam Khoshnevis

MD, Cardiologist

Fellowship of Echocardiography

Faculty member of TUMS

Case Categories:

by Clinical diagnosis
by Modality

User's Profile ()