Case #121-Ali Bozorgi

History:

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:

Question:

What is the tracing interpretation and next plan?

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 #595-Ali Bozorgi

History:

A young man experiencing palpitations underwent Electrophysiological Study (EPS), revealing the presence of two distinct arrhythmias, as illustrated below:

Question:

Which potential diagnosis is considered LESS likely?

History:

A  40 y/o man underwent catheterization because of occasional dyspnea.

Question:

According to video of his catheterization ,can you name the anatomic location marked with *?

Case #113-Ali Bozorgi

History:

27 years old girl underwent EPS for palpitation. An EP tracing during EPS is shown.

Question:

Which statement is TRUE about this tracing?

Case #539-Ali Bozorgi

History:

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.

Question:

Which statement is TRUE?

Case #558-Shayan Shahi

History:

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 )

Question:

What is the best next step?

Case #375-Ali Bozorgi

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:

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.

Question:

What's your interpretation?

Case #541-Samane Mohamadi

History:

A 39-year-old woman is experiencing paroxysmal palpitations. Below are the electrophysiological (EP) tracings.

Question:

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?

Case #712-Samane Sardari

History:

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.

Question:

What is the most appropriate immediate next step in management?

Case #538-Ali Bozorgi

History:

An ECG of an elderly man with fever is provided below.

Question:

Seeking the optimal explanation for this ECG. What's your take?

Case #53-Ali Bozorgi

History:

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.

Question:

What is your diagnosis?

Case #480-Ali Bozorgi

History:

A 34-year-old man with palpitations and syncope arrived at the emergency department, 12 lead ECG is shown.

Question:

what are the diagnosis and treatment?

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 #271-Ali Bozorgi

History:

A 29 years old man with Tachycardia and low LVEF(25%) underwent EPS and ablation, Surface ECG and EP tracing are shown.

Question:

What is probable etiology of cardiomyopathy?

Case #559-Ali Bozorgi

History:

A middle-aged man with frequent PVC and Low LVEF, below you can find EP tracing during PVCs and also ablation.

Question:

What statement is wrong?

Case #771-Samane Sardari

History:

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.

Question:

Based on the most likely diagnosis, which of the following options is incorrect?

Case #460-Ali Bozorgi

History:

This ECG is taken during the ablation of case no.459, divided by a blue bar into two segments.

Question:

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

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