History:

A 70 y/o man with left upper quadrant and hemothorax pain from last night 

He had performed EVAR last year due to Abdominal Aorta Aneurysm

Bp:100/70 PR:100/min  RR:18  Room air O2 sat:94%

WBC:12700 PMN 78% Hb:6.7 PLT:177000

Cr:1.7, Negative Tn

Abdominopelvic CT with IV contrast was done

Question:

What is your diagnosis and treatment?

Case #378-Ali Bozorgi

History:

A young patient with narrow complex tachycardia underwent EPS, An EP tracing is shown below.

Question:

What is NOT seen in EP tracing?

History:

A 35 y/o woman was evaluated for shortness of breath.

Echocardiography is shown:

Question:

what is the most likely diagnosis?

Case #635-Samane Mohamadi

History:

Following case 632, the patient underwent EPS and ablation. The tracings are displayed below.

Question:

Which statement is not correct?

History:

A 32-year-old male presents to the cardiology clinic with a history of palpitations and syncope. He reports that he has been experiencing these symptoms for the past six months, and they have been increasing in frequency and severity. He denies any chest pain or shortness of breath.

A transthoracic echocardiogram (TTE) reveals mild dilatation of the right ventricle (RV) with reduced RV function and an ejection fraction of 40%. The left ventricle (LV) is normal in size and function.

The EKG is shown.

Question:

Based on the diagnosis, which one is correct?

History:

50 y/o woman with history of dyspnea on exertion underwent catheterization.

Question:

According to video of her catheterization & your presumptive diagnosis for her procedure can you guess which chamber is enlarged?

History:

A 70 y/o with history of valve surgery underwent echocardiography.

Question:

Which statement is TRUE about the patient?

Case #548-Ali Bozorgi

History:

Below you can find a "plot diagram" of a patient with an ICD. 

Question:

Which statement is WRONG?

Case #279-Ali Bozorgi

History:

A middle aged patient underwent EPS and Ablation for palpitation, ECG of arrhythmia before and after Adenosine are given with a trace of EP. 

Question:

What is the most possible diagnosis?

Case #136-Ali Bozorgi

History:

A 65 years old lady implanted dual chamber pacemaker recently, ECG and Chest X-Ray is shown.

Question:

Which statement is TRUE in this patient?

Case #373-Ali Bozorgi

History:

An angiogram of the right coronary artery is shown with concomitant 12 lead ECG.

Question:

What happened and why? 

Case #335-Ali Bozorgi

History:

A middle-aged lady with wide complex tachycardia underwent EPS. ECG of Arrhythmia and an EP tracing of high RA pacing are shown below:

Question:

What is the most probable diagnosis?

History:

A 39-year-old man was brought to the emergency department by ambulance with presentation of sudden and complete LOC.

Basic life support was perform before arrival at the hospital. Cardiac monitoring showed ventricular fibrilation and patient recieved defibrilation then pulse became detectable. The first ECG which was taken 3minutes after DC shock is shown below.

 

Question:

Which of the statments presented here is true about this patient?

Case #612-Ali Bozorgi

History:

Analysis was conducted on a middle-aged patient who experienced an ICD shock; the corresponding tracing is provided below:

Question:

Which statement is wrong?

Case #511-Ali Bozorgi

History:

A 53 years old man with a history of CAD and PCI came to the emergency department with loss of consciousness, successful CPR was performed. Below you can find some ECGs obtained from him. He was opium user, recently changed to Methadone.

Question:

Which statement is NOT correct?

History:

A 44 y/o man underwent echocardiography for routine follow up, he had a history of congenital heart disease which was corrected by percutaneous intervention.

Question:

According to the echocardiography, can you guess the procedure of his past intervention?

History:

A 36 y/o young man came to ED complaining of retrosternal chest pain. His serial troponin enzyme came normal,he had no risk factor for coronary artery disease. he was also a professional athlete.

Question:

This ECG is most consistant with which one of the following?

Case #637-Shayan Shahi

History:

An 84-year-old woman underwent a TAVR procedure. The day after the procedure, you visited the patient, and her ECG is shown below:

Note: The post-TAVR LBBB was transient, lasting only for 2 hours after the procedure

Question:

What is the best next step?

History:

85 y/o man came to emergency department complaining of episodes of palpitation. He had echocardiogram in his documents stating that he had a LV ejection fraction about 15%. ECG was shown:

Question:

what is your most likely diagnosis?

Case #586-Ali Bozorgi

History:

An elderly woman with a history of a dual-chamber permanent pacemaker (PPM) from years ago presented with complaints of dizziness. The accompanying ECG and device tracing are provided for further evaluation.

Question:

Given the device tracing, which plan would be more suitable?

In Loving Memory of

Dr. Maryam Khoshnevis

MD, Cardiologist

Fellowship of Echocardiography

Faculty member of TUMS

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