Case #655-Ali Bozorgi

History:

A young man was referred to the ED after experiencing syncope during exercise. He was unresponsive upon arrival. Below are the ECGs obtained during resuscitation and at rest.

Question:

What is the most probable diagnosis?

History:

A 40 y/o man came to your clinic for routine checkup. He claimed that he had a valvular heart surgery about one year ago, but he did not have any document with him .He also stop taking his medication which was prescribed by his former physician and did not know the name of his drugs!!

Now he asked about the need for taking anticoagulant for his valve(His ECG showed normal sinus rhythm).

Question:

according to his CXR, what is your recommendation for taking anticoagulant?

Case #176-Ali Bozorgi

History:

A 65 years old man with recurrent palpitation, underwent EPS, Two EP tracings are shown:

Question:

What is the most probable diagnosis of the Arrhythmia?

Case #776-Ali Bozorgi

History:

A 52-year-old lady with frequent palpitations, below you can find the ECG and EP tracing.

Question:

What is the most likely diagnosis?

Case #333-Ali Bozorgi

History:

A 68 years old lady underwent CRT-D implantation. Biventricular pacing is could not be achieved after implantation Fluoroscopy and chest X-Ray of the patient are given. ECG after implant also given:

Question:

What is wrong with the device?

Case #526-Ali Bozorgi

History:

A young girl with palpitations underwent EPS, below you can find the tracing of arrhythmia.

Question:

which kind of arrhythmia is NOT probable?

Case #573-Ali Bozorgi

History:

A middle-aged patient with history of AVR, symptomatic PVC (30%) unresponsive to beta-blockers and Sotalol. ECG is shown: 

Question:

What is your plan? 

Case #54-Ali Bozorgi

History:

A 52 y/o lady with recent dual chamber pacemaker implantation presented by dizziness.

ECG and Chest XRay are shown.

PPM analysis showed Normal RA and RV impedance, Normal Atrial lead sense and pacing, no RV capture.

Question:

What is the etiology of device malfunction?

Case #554-Samane Mohamadi

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?

Case #109-Kaveh Hosseini

History:

35 years old man came to the clinic with atypical chest pain. Echocardiography was performed. 

Question:

Which statement is TRUE about this patient? 

History:

70 y/o man with history of coronary artery disease underwent echocardiography . TTE was shown:

Question:

Which one of the following was NOT seen on this echocardiography?

Case #122-Ali Bozorgi

History:

A 66 years old man with came to clinic for ICD analysis, Tracing is shown (1,2,3)

Question:

What is the tracing interpretation?

History:

36-year-old female with  hypercholesterolemia presents to the emergency room with 3 hours of chest pain and the following ECG.

Question:

How would you manage this patient based on this ECG?

Case #151-Motahare Hatami

History:

A 40 y/o man came to ED complaining of severe retrosternal chest pain which was started from 3 days ago.

ECG is shown:

Question:

According to ECG can you guess the location of occlusion in coronary artery?

Case #154-Ali Bozorgi

History:

A 63 y/o lady with LVEF=40% and Mild CAD, All ECG tracing showed irregular arrhythmia, three are shown:

Question:

What is the rhythm in this lady with tachycardia induced cardiomyopathy? 

Case #115-Motahare Hatami

History:

50 y/o man with history of dual chamber pacemaker implantation 7 years ago came to your clinic for routine checkup. He didn’t have any specific symptom.ECG was shown:

Question:

What is the most likely diagnosis?

Case #25-Ali Bozorgi

History:

A 62 years old man came to ED with palpitations, he was hemodynamically stable, two serial ECG was taken and shown bellow:

Question:

Which drug would be the best choice?

History:

A 25-year-old multiparous woman, seven weeks after her third caesarean delivery, experiences shortness of breath and bilateral lower limb edema. During the initial evaluation, pulmonary rales are heard, and the echocardiography reports an EF=20%. The patient is not taking any supplementary drugs and does not mention any family history of heart problems. A coronary CT angiography was requested and reported normal results. 

Question:

Based on the diagnosis, which option is incorrect?

Case #615-Ali Bozorgi

History:

A middle-aged lady with frequent palpitations, EP tracings are shown below.

Question:

What is the most probable diagnosis?

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?

In Loving Memory of

Dr. Maryam Khoshnevis

MD, Cardiologist

Fellowship of Echocardiography

Faculty member of TUMS

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