Case #490-Ali Bozorgi

History:

A young woman with palpitations. below you can find resting ECG, Documented ECG during palpitation, and EP tracing that showed sinus rhythm while RF ablation.

Question:

What is the most probable diagnosis?

Case #665-Ali Bozorgi

History:

A middle-aged man with MVR, EPS performed, Below are the findings: ECG during arrhythmia, EP tracings, fluoroscopic imaging, and sinus rhythm ECG.

Question:

What is the best explanation?

Case #164-Kaveh Hosseini

History:

A 55 years old man underwent eventful CABG 2 days ago. His post op BP was low and needed inotrope and mechanical support. He complained from abdominal pain and dyspnea. Post-op CXR is as follows

Question:

What is most important abnormality in CXR? 

Case #661-Sarah Taaghi

History:

A 35-year-old man was referred for an electrophysiology study due to multiple episodes of PSVTs. During EPS arrhythmia was easily induced, which you can find below as tracing A. After localizing the best signal, with RF application the retrograde activation of arrhythmia changed (tracing B).

Question:

According to tracing A and B, which statement is correct?

Case #571-Samane Mohamadi

History:

A 56-year-old male came to ER with palpitation since 1 hour ago.

Below you can find the arrival ECG.

Vital sign:Bp:126/75-PR:180_190

Question:

What is the suitable action?

History:

You are on an on-call duty, emergency department nurse sent you the following ECG.

Question:

What is your next appropriate step in management of the patient?

Case #656-Samane Mohamadi

History:

A 65-year-old male underwent CABG 4 days ago for severe 3-vessels disease. the nurse calls on-call resident for the arrhythmia observed on the monitor.
The ECG is shown below.

Question:

Which statement is NOT correct?

Case #504-Samane Mohamadi

History:

A 38-year-old male presented with narrow complex tachycardia candidate for eps ablation. other than palpitation he had no other complaint. 
EPS has been planned.
Based on an echo which can be seen below.

Question:

whats is the next step according to the incidental finding?

Case #123-Ali Bozorgi

History:

65 years old lady with complains of dizziness and palpitations and syncope. Three ECG tracings are shown:

Question:

What is the most probable diagnosis?

Case #670-Aghil Zarbini

History:

A 50 year old gentleman with history of coronary artery bypass graft three months ago went through coronary angiography due to chest pain. 

Question:

According to angiogram, which statement is not correct?

Case #382-Ali Bozorgi

History:

A 60-year-old lady with the complaint of syncope, two ECGs are shown:

Question:

which statement is FALSE?

History:

60 y/o woman with history of valve surgery and pacemaker implantation came to ED complaining of new onset dyspnea.

Question:

which statement is true about patient diagnosis?

Case #652-Ali Bozorgi

History:

Below is a video showcasing an episode of tachyarrhythmia recorded by an ICD in a middle-aged man.

Question:

What statement is WRONG about this tachycardia episode?

Case #324-Ali Bozorgi

History:

A 35 years old asymptomatic man was referred for evaluation of ECG, two ECGs are shown, the first one was captured during covid when he was febrile the other is today's ECG.

Question:

What are you going to do?

Case #373-Ali Bozorgi

History:

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

Question:

What happened and why? 

History:

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

Question:

Which statement is TRUE about the patient?

Case #556-Ali Bozorgi

History:

 A middle-aged patient came for Device analysis, below you can find the screenshot of analysis.

Question:

Which statement is NOT true?

Case #338-Ali Bozorgi

History:

Below you can find EP tracing of a patient with paroxysmal AF who underwent cryoballoon AF ablation.

Question:

what happened?

Case #718-Ali Bozorgi

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 24-year-old woman complains of pleuritic chest pain since two days ago.  The patient's pain is constant and has not decreased. The patient mentions the history of taking bodybuilding supplements and has complained of chronic cough for the past six months.

He did not complain of a recent cold or coryza symptoms.

  DH: Negative

  FH: Negative

  Vital signs: BP:120/80, PR:75, RR:18, T:37℃

  Lab findings: WBC:14000(N:70%), Plt:330,000 , CRP:NL, Trop:1200

Question:

According to angiography, which finding is incorrect?

In Loving Memory of

Dr. Maryam Khoshnevis

MD, Cardiologist

Fellowship of Echocardiography

Faculty member of TUMS

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