A 58 years old man with several episodes of syncope once in supine position. Baseline ECG showed RBBB and LAHB (bifascicular block). LVEF=55%, EPS done. EP tracing is shown:
What is the tracing interpretation and next plan?
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?
A young man experiencing palpitations underwent Electrophysiological Study (EPS), revealing the presence of two distinct arrhythmias, as illustrated below:
Which potential diagnosis is considered LESS likely?
A 40 y/o man underwent catheterization because of occasional dyspnea.
According to video of his catheterization ,can you name the anatomic location marked with *?
27 years old girl underwent EPS for palpitation. An EP tracing during EPS is shown.
Which statement is TRUE about this tracing?
An 83-year-old man underwent recent primary percutaneous coronary intervention (PCI) for the right coronary artery (RCA). Two ECGs in two consecutive days are presented below.
Which statement is TRUE?
A 67-year-old male patient with a history of diabetes and hypertension came to our clinic with the chief complaint of DOE FCII from 3 months ago
His ECG is shown below
Echo: EF: 50 %, SPAP: 55, Severe LVH, Diastolic Dysfunction Grade III, biatrial enlargement
CMR: RCM, Cardiac amyloidosis should be considered
We ordered Protein Electrophoresis with immunofixation which result is shown below :
M peak : 3.1 g/dl ( normal range < 3 g/dl )
What is the best next step?
A middle-aged patient underwent EPS and Ablation for incessant arrhythmia, below you can find 12 lead ECG and EP tracings of the patient.
What is the most probable arrhythmia?
An 82-year-old man with a history of TAVR and PPM-DR insertion due to transient AV Block after TAVR has presented for device analysis with this ECG without any symptoms.
What's your interpretation?
A 39-year-old woman is experiencing paroxysmal palpitations. Below are the electrophysiological (EP) tracings.
What is the most probable diagnosis?
50 Y/O female presented to hospital complaining about recent exertional chest pain and episodes of syncope which mostly happened at the time of doing home laundry.
According to this aortography, Which one is the most probable cause of syncope in this patient?
A 72‑year‑old woman with a history of type 2 diabetes mellitus, ischemic heart disease, and end-stage renal disease on routine hemodialysis presents to the emergency department with malaise, generalized weakness, and nausea since last night.
On arrival:
• Blood pressure: 100/60 mmHg
• Pulse: 26 bpm, regular
• She appears fatigued but arousable.
Her ECG is provided.
What is the most appropriate immediate next step in management?
An ECG of an elderly man with fever is provided below.
Seeking the optimal explanation for this ECG. What's your take?
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.
What is your diagnosis?
A 34-year-old man with palpitations and syncope arrived at the emergency department, 12 lead ECG is shown.
what are the diagnosis and treatment?
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 29 years old man with Tachycardia and low LVEF(25%) underwent EPS and ablation, Surface ECG and EP tracing are shown.
What is probable etiology of cardiomyopathy?
A middle-aged man with frequent PVC and Low LVEF, below you can find EP tracing during PVCs and also ablation.
What statement is wrong?
A 52-year-old man with a past medical history of hypertension presents with dyspnea. Myocardial perfusion imaging demonstrates reversible ischemia in the anterior wall territory. Elective coronary angiography sequence is displayed below.
Based on the most likely diagnosis, which of the following options is incorrect?
This ECG is taken during the ablation of case no.459, divided by a blue bar into two segments.
There are subtle changes in ECG, what is your diagnosis?
In Loving Memory of
Dr. Maryam Khoshnevis
MD, Cardiologist
Fellowship of Echocardiography
Faculty member of TUMS