35 y/o man with Ebstein anomaly. ECG tracing is shown.
What is TRUE statement regarding 12 lead ECG :
A 75 years old man came to the clinic with a complaint of dyspnea on exertion, ECG is shown below:
Based on ECG what would be expected in echocardiography?
An 20-year-old woman experienced syncope at home and was transported to the hospital by EMS. Upon arrival in the ER, her GCS score was 10, and the emergency physician noted pupil dilation in both eyes. Her medical history revealed no cardiac problems, either personal or familial. The only significant finding in her history was the use of oral contraceptive pills (OCP). This is her ECG.
What is the next step?
A 35 y/o lady came to your clinic for routine checkup. She claimed that she had a congenital heart disease which was corrected many years ago.
according to CXR ,what is your assumption for her past congenital disease?
A 40-year-old woman has been complaining of refractory HTN for the last year. She goes to the heart clinic. After taking three classes of antihypertensive drugs, her blood pressure is still not controlled. Additional imaging is done for the patient, who is a candidate for renal artery angiography.
Based on the diagnosis which sentence is false?
A 70 years old man with a history of hypothyroidism and CHF came to the clinic without any complaints.
3 years ago, An ICD DR was implanted for him.
He takes these drugs:
Amiodarone 200mg BD, ASA 80mg Daily, Pantoprazole 40 mg Daily, Losartan 25 mg Daily, spironolactone 25mg Daily;
According to the shown ECG, which action is more correct?
Below you can find 3D mapping and EP signals of a case of VT ablation:
What statement is wrong in this case?
A 70-year-old woman with a history of PPM implantation due to CHB one month ago came to our ED with the chief complaint of pleuritic chest pain. ( Mode: DDD, Base Rate: 60)
Her ECG and CXR are shown below :
According to her ECG and CXR, which statement is not true?
A 55-year-old lady known case of hypothyroidism came to ER with a history of Transient loss of consciousness for about 30 seconds on the last day.
The episode was non-traumatic, abrupt in onset and she was in the sitting position.
She was complaining of dizziness that started 2 months ago.
Her initial Lab Data and Thyroid Function test was normal.
Her ECG is shown below.
What is the diagnosis and what is your next plan?
A 45 y/o lady underwent EPS for evaluation of wide complex tachycardia.
EP tracing is shown:
What is the best explanation for this tracing?
A 83 years old man with history of dual chamber pacemaker implantation 6 months ago presented with dizziness and syncope. ECG is shown.
In regard to ECG which statement is FALSE?
An ECG of an elderly man with fever is provided below.
Seeking the optimal explanation for this ECG. What's your take?
A 34 y/old women admitted with fever, weakness and malaise from 3 weeks ago and 4 Kg
weight loss from 1 month ago, She had a dental procedure 45 days ago, took Amoxicillin 500 mg TD
BP: 138/112 HR: 91RR: 22 T: 37.6 SaO2: 96%
Mild splenomegaly detected ,WBC:12700 PMN:78% CRP ++ ESR :56
Echocardiography is shown:
What is the most probable diagnosis?
A 68 y/o woman (wt=62 kg) came to the hospital with a chief complaint of palpitations and chest pain. Two weeks earlier, she underwent PCI procedure due to STEMI and she was receiving ASA 80 mg daily and Ticagrelor 90 mg BID. In laboratory findings, SrCr was 2.1 mg/dL and her ECG revealed atrial fibrillation.
What is the most appropriate antithrombotic regimen for this patient during the first year after PCI?
A 75-year-old woman with a medical history of diabetes and hypertension, and a dual-chamber pacemaker, attended a follow-up appointment. Enclosed are ECG Holter tracings, a 12-lead ECG, and the device analysis for the patient.
Which statement is TRUE?
Below you can find a 12-lead ECG and EP tracing of a middle-aged man with palpitations.
Which one is the most likely diagnosis?
A 70-year-old woman with exertional dyspnea FC 2 from several years ago referred to our center for further evaluation.
8 years ago, the patient had aborted SCD due to ventricular fibrillation documented by ECG & an ICD implanted subsequently for secondary prevention.
An ECG & echocardiography & coronary angiography were done for evaluation of patients dyspnea.
Coronary angiography result: mild CAD
ECG &TTE are shown:
According to patient history and para-clinical data ,What's your most likely diagnosis for our patient?
A 70 years old man underwent biologic aortic valve replacement 3 days ago. He had history of GI bleeding last year. Coronary angiogram showed mild CAD. His rhythm is normal sinus and vital signs are unremarkable.
According to the latest guidelines which anticoagulant and/or antiplatelet therapy do you suggest after discharge?
A 40 y/o lady with history of valve surgery is admitted to hospital because of left hemiparesis, she only took warfarin as her medication & her last INR was about 2.2. Echocardiography is shown.
According to the echocardiography, what is your plan for patient ?
A middle-aged man with a history of frequent admissions due to tachyarrhythmia and two unsuccessful ablation sessions. ECG and 3D mapping from an electrophysiology study (EPS) are shown:
Based on ECG and 3D mapping what is Wrong about this case?
In Loving Memory of
Dr. Maryam Khoshnevis
MD, Cardiologist
Fellowship of Echocardiography
Faculty member of TUMS