History:
A patient came to the Emergency department with dizziness, she was implanted with a dual-chamber pacemaker a year ago. Below you can find the ECG of the patient and Chest X-Rays of the implantation date and a new one.
Question:
Which statement is NOT correct?
History:
A 77 y/o man presented with TCP & diaphoresis from the last day, He is an active smoker.
Lab data: Trop:598 /cr:1 /Hb:13.5 /CRP:1.26 /PLT: 175000 /k:4.6
ECG: NSR, NAX No significant ST-T changes
Echo: LVEF=35% with significant RWMA in ant circulation. No lv clot
Coronary Angiography is shown:
Question:
What is the most common etiology of this condition? What is the most common manifestation?
History:
An 80 year old asymptomatic lady came with below ECG:
Question:
What is your diagnosis?
History:
A 19-year-old man with a history of smoking presented to the emergency department with chest pain and dyspnea that had been present for a few days. His vital signs were stable. An ECG is shown.
Question:
Which statement is true?
History:
A 74-year-old male with a history of heart failure and CRT-D implantation due to VT, presented with tachycardia and multiple ICD shocks.
Here you can find the patient's ECG and device analysis.
Question:
Which statement is NOT correct?
History:
Below You can find an EP tracing AFTER the ablation of a patient with orthodromic AVRT.
Question:
What is your interpretation?
History:
A 72-year-old woman with episodic palpitations and a history of unsuccessful ablation two years ago was referred for further evaluation. Below is the episode of arrhythmia induced during the EPS (speed: 50 mm/sec).
Question:
Which statement is correct?
History:
A young lady with a history of frequent palpitations and a prior failed ablation presented for an electrophysiology (EP) study. The ECG during the induced arrhythmia and EP tracing during incremental atrial pacing are shown below.
Question:
What statement is WRONG about this case?
History:
A male patient aged 68 years, with a non-recorded history of percutaneous coronary intervention (PCI), arrived at the emergency department complaining of chest pain that had begun a few hours prior. Following an ECG recording, a sudden cardiac arrest occurred, prompting immediate cardiopulmonary resuscitation (CPR) initiation involving chest compressions. The patient was immediately monitored and found to have ventricular fibrillation (VF) rhythm and a (DC) shock of 200 joules was administered, resulting in the restoration of sinus rhythm.
Question:
Based on the (ECG) obtained prior to the occurrence of cardiac arrest, and which is presented below, what would be the most appropriate course of action?
History:
An EP tracing of a patient with arrhythmia is shown.
Question:
What is the beat encircled?
History:
A 35 y/o lady underwent echocardiography for evaluation of palpitation & Dyspnea on exertion.
Question:
What is the most likely diagnosis?
History:
A 40 years old man with palpitation and manifest preexcitation, ECG is shown:
Question:
What is accessory pathway localization?
History:
A 35 y/o woman came to your clinic complaining of occasional episode of palpitation, At the time of your visit she was asymptomatic but she had a ECG of the time of her palpitation with her.
Question:
According to ECG what is your most likely diagnosis?
History:
A 27-year-old man known case of ACM (Arrhythmogenic Cardiomyopathy) presented with WCT in favor of VT, with history of previous unsuccessful Endocardial VT ablation, was candidated for Epicardial approach of VT ablation.
The surface ECGs (sinus rhythm & arrhythmia) are shown below.
Question:
Based on the ECG, how many major ACM criteria are met in total?
History:
A 54 years old man with Preexcitation.ECG is shown:
Question:
Where is accessory pathway?
History:
You were on an on-call duty. The emergency department nurse paged you because of cardiac arrest at ED. The ECG of patient at arrival is shown:
Question:
Which one of the following statement is the most suitable diagnosis for this ECG?
History:
A 78 y/o woman came to ED complaining of acute onset of retrosternal chest pain, she was anxious and suffer from severe chest pain. In her past medical history she only had a history of hypertension.at admission to hospital her vital signs were as follow:
BP=160/60 HR=110 RR=22 O2sat in room air=96%
an ECG &bed side echocardiography was done immediately
Question:
According to ECG &echocardiography what is your next appropriate step?
History:
A 65-year-old male presents to the emergency department with shortness of breath and fatigue that has been worsening over the past few months. He has a past medical history significant for hypertension and hyperlipidemia, for which he is on medications. The patient denies any chest pain or palpitations. On physical examination, his blood pressure is 140/90 mmHg, heart rate is 100 beats per minute, respiratory rate is 24 breaths per minute, and oxygen saturation is 92% on room air. There is no jugular venous distention or peripheral edema. Lung examination reveals diffuse crackles in both lung fields. Cardiac examination reveals a regular rhythm with a grade II/VI systolic ejection murmur at the left sternal border. His laboratory values are notable for a B-type natriuretic peptide (BNP) level of 700 pg/mL (normal range: <100 pg/mL).
Question:
Based on echocardiography, which option is incorrect?
History:
A young lady with no structural heart disease underwent EPS for wide complex tachycardia, two EP tracings are shown below:
Question:
What is the diagnosis?
History:
Below, you can find the EP tracing of a middle-aged patient with palpitations.
Question:
Which statement is NOT correct?
In Loving Memory of
Dr. Maryam Khoshnevis
MD, Cardiologist
Fellowship of Echocardiography
Faculty member of TUMS
