History:

A 60-year-old male patient with a history of hypertension, hyperlipidemia, and smoking was admitted to the hospital two days ago, with a diagnosis of anterior MI, and underwent primary percutaneous coronary intervention (PCI) to his left anterior descending artery (LAD).

Two days after the PCI, the patient developed symptoms of heart failure, including dyspnea, cough, and fatigue. His blood pressure was 90/60 mmHg, and his heart rate was 110 beats per minute. Physical examination revealed crackles in both lung fields and holosystolic murmur.  His ECG and echocardiography are shown below.

Question:

Based on ECG and echocardiography, which option is more likely to be diagnosed?

History:

70 y/o man with history of CABG underwent coronary angiography for evaluation of exertional chest pain .

Question:

which statement is TRUE about the patient?

Case #312-Ali Bozorgi

History:

A 19-year-old patient was referred for an arrhythmia accompanied by traumatic syncope. The rest and arrhythmia ECG are shown:

Question:

What are the diagnosis and best choice of treatment?

Case #126-Ali Bozorgi

History:

A 66 years old man with came to clinic for ICD analysis (same patient in #case 122), look at the print of analysis in order of numbers 1,2,3,4.

Question:

What happened? Was ICD shock appropriate?

Case #465-Ali Bozorgi

History:

A 71 year old patient with LVEF=35%, NECA, presented with this arrhythmia:

Question:

What is the arrhythmia?

Case #466-Ali Bozorgi

History:

A 30-year-old patient was admitted to the hospital because of syncope, at 3 AM he woke up complaining of palpitations, based on the rhythm strip, the on-duty resident started Lidocaine. 

Question:

What would be your advice for him/her?

Case #513-Ali Bozorgi

History:

Here is a video of a patient in the ICU. The cardiology resident in charge transiently turned off the patient's temporary pacemaker, which caused the patient to go into asystole.

Question:

How can this be?

Case #120-Ali Bozorgi

History:

A 65 years old man came to ED with dizziness, his medication was as follow : Rivaroxaban 20 mg daily, Losartan 25 mg BD, Atorvastatin 40 mg daily, Amlodipin 5 mg daily. ECG is shown:

Question:

What is the Rhythm? what is your next plan?

Case #505-AliReza Farzaei

History:

A female patient aged 53 years, with a medical history of aortic valve replacement (AVR), mitral valve replacement (MVR), and tricuspid valve repair (TVr) five years ago, presented at the medical facility without any symptoms but with a prolonged withdrawal from warfarin for several months. The patient was admitted, and heparin therapy was initiated along with a transthoracic Doppler echocardiography (TDI TTE) examination and fluoroscopy. 

Question:

Based on the results obtained from the TDI TTE and flouroscopy what do you consider the most appropriate course of action?

Case #331-Ali Bozorgi

History:

An old man with palpitations, ECG, and EP tracing are shown.

Question:

Based on EP Tracing what is the most probable diagnosis?

Case #577-Ali Bozorgi

History:

A middle-aged patient underwent EPS ablation for flutter. See the procedure summary below :

Question:

Which statement is wrong?

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 #85-Ali Bozorgi

History:

92 y/o frail man presented with unexplained syncope when sitting and also in supine position. LVEF=50%

ECG is shown.

Question:

What is your plan for the patient?

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?

History:

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.

Question:

according to CXR ,what is your assumption for her past congenital disease?

History:

A 30 y/o woman underwent echocardiography for evaluation of dyspnea. She claimed that her dyspnea worsens while lying on the left side.

Question:

What is the most likely diagnosis?

History:

A 30 y/o with history of congenital heart disease underwent echocardiography.

echocardiography was shown:

Question:

Which one of the following was NOT shown in this echocardiography?

Case #367-Ali Bozorgi

History:

A middle-aged lady with palpitations underwent EPS, below you can see the EP tracings:

Question:

What is the most probable diagnosis?

History:

A 75 y/o lady underwent echocardiography for evaluation of dyspnea. Echocardiography is shown:

Question:

Which statement is TRUE about the patient?

Case #127-Yaser Jenab

History:

A 44-year-old lady with history of exertional dyspnea FC 1-2  referred for interventional cardiac procedure. She complained DOE from 2 years ago. Trans thoracic echocardiography showed mild LV dilation with normal function and normal pulmonary artery pressure.

Question:

Which procedure was done for the patient?

In Loving Memory of

Dr. Maryam Khoshnevis

MD, Cardiologist

Fellowship of Echocardiography

Faculty member of TUMS

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