History:
A 61 y/o man with history of CABG, referred to Emergency Department with palpitation.
LVEF=15%
Arrhythmia ECG and baseline ECG are shown.
Question:
What is the most likely diagnosis?
History:
A 51-year-old diabetic woman presented with a complaint of chest pain.Based on the ECG coronary angiogram performed.
Question:
Based on the ECG and Coronary angiogram,what is the next step?
History:
Analysis of the Case 587 is shown below:
device mode: DDD
upper tracking rate: 130/min
mode switch: on if Atrial rate > 180 ----> mode switch to DDI ( Base Rate: 80/min )
Atrial and ventricular lead sensitivity and threshold and impedances were normal.
Question:
Knowing analysis, what is happening and what is the most probable diagnosis?
History:
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.
Question:
According to this aortography, Which one is the most probable cause of syncope in this patient?
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?
History:
A middle-aged patient came for Device analysis, below you can find the screenshot of analysis.
Question:
Which statement is NOT true?
History:
A middle-aged patient underwent EPS and Ablation for incessant arrhythmia, below you can find 12 lead ECG and EP tracings of the patient.
Question:
What is the most probable arrhythmia?
History:
A 42-year-old patient, with palpitations, ECG of both arrhythmia and resting are shown
Question:
Regarding ECG what is the most probable cause of arrhythmia?
History:
65 y/o man is evaluated for chest pain. He had a history of CABG. Angiography is shown:
Question:
Which statement is TRUE about the patient?
History:
A 60y/o man with a history of coronary artery disease and heart failure with EF=15% came to ED complaining of palpitation.ECG of tachyarrhythmia and previous ECG in sinus rhythm are shown:
Question:
What is your most likely diagnosis?
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?
History:
A 51-year-old man with no known coronary risk factors presented to the emergency department (ED) with a four-day history of chest pain.
Question:
Based on the patient’s ECG findings, which of the following is the most appropriate next step?
History:
A 43-year-old gentleman with a known case of Apical HCM underwent 48-h ECG holter monitoring for SCD risk stratification.
Below is one shot from his ECG Holter Monitoring :
Question:
Which one is the best next step?
History:
35 years old man came to the clinic with atypical chest pain. Echocardiography was performed.
Question:
Which statement is TRUE about this patient?
History:
A 40-year-old woman complained of heart palpitations;
Question:
Based on echocardiography, which option is wrong?
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?
History:
An angiogram of the right coronary artery is shown with concomitant 12 lead ECG.
Question:
What happened and why?
History:
A 57 y/old woman was admitted with chest pain, dizziness, and DOE FC2 from one day ago
PMH: NEG., DH: covid vaccination 3 weeks ago
Bp:130/70 PR :78 RR :18 T:37 Sat:97%
Echocardiography: EF:55% ,mild MR. Mild to mod TR. TRG 26 PAP:31 no RWMA. NO LV clot
Lab data: cr:1.1 _LDL:157 _CRP :3.6 WBC:11500 _PMN:78% Trop: neg
He was referred to the cath lab for coronary angiography.
Angiogram is shown
Question:
Which diagnosis is most appropriate for this patient?
History:
A 60 y/o man with a history of PCI on LCX comes to ED complaining of acute chest pain and dizziness.
the ECG is shown:
Question:
what is your diagnosis and proposed treatment strategy?
History:
A 60 y/o lady came to ED with dizziness and pre-syncope. She had history of CABG+MVR+TV reapir.
Two sets of ECG shown
Question:
What is the best treatment?
In Loving Memory of
Dr. Maryam Khoshnevis
MD, Cardiologist
Fellowship of Echocardiography
Faculty member of TUMS
