History:

A 65 y/o man with history of MVR 2 years ago come to ED complaining of new onset dyspnea from 3 days ago.

Question:

Which statement is TRUE about the patient?

History:

A 70-year-old diabetic woman presents to the emergency department with complaints of weakness, fatigue, and pain in her lower extremities

Question:

What initial action does the ECG (Electrocardiogram) suggest?

Case #590-Ali Bozorgi

History:

A 70-year-old woman experiencing dizziness; below are the ECGs captured over the course of one day.

Question:

Which option is NOT as accurate in this scenario?

History:

A  53 y/o man underwent echocardiography for evaluation of chronic dyspnea on exertion & edema.

Question:

Which statement is true about the patient?

Case #263-Sarah Taaghi

History:

A 46 y/o male patent came in to clinic for outpatient follow up , 5 years ago he underwent cardiac surgery.

Bellow you can find his echocardiogram.

Question:

What was his cardiac surgery ?

Case #479-Ali Bozorgi

History:

A middle-aged lady came with palpitations, three ECGs are shown below:

Question:

What is your diagnosis?

Case #150-Ali Bozorgi

History:

45 years old man with recurrent palpitations, underwent EPS. Two EP tracings are shown below:

Question:

Which Arrhythmia is unlikely? 

Case #342-Ali Bozorgi

History:

A 24-year-old patient with PVC burden of 33%, low LVEF=20%, ECG and echo are shown.

Question:

what is the best strategy for the patient?

Case #110-Ali Bozorgi

History:

A 45 y/o lady underwent EPS for evaluation of wide complex tachycardia.

EP tracing is shown:

Question:

What is the best explanation for this tracing?

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 #243-Motahare Hatami

History:

Sad day at the emergency department unit!

18 y/o girl came to ED complaining of worsening dyspnea since two weeks ago. She claimed that she could not sleep at all because of dyspnea. In her medical records, according to chronic cough, she was recently underwent a biopsy of the lymph node in her mediastinum, and the results showed lymphoproliferative disorder.

Her vital sign: HR=140 beat/min  BP=90/60   O2saturation=93 %    RR=30

An ECG & echocardiography was done immediately.

 

Question:

which statement is NOT true about the patient?

History:

35 y/o woman with history of previous valvular surgery, underwent Echocardiography for routine checkup.

Question:

Which statement is TRUE about patient?

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:

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 #499-Ali Bozorgi

History:

An 80 year old asymptomatic lady came with below ECG:

Question:

What is your diagnosis?

Case #631-Ali Bozorgi

History:

A young lady with preexcitation underwent EP ablation. Post-ablation, Adenosine was administered to block the AV node and confirm successful accessory pathway ablation. Below is the tracing following the procedure: 

Question:

Which statement is wrong?

History:

35 y/o man came to ED with complain of fatigue & orthopnea from 1 month ago. echocardiography was shown :

Question:

Which one is NOT seen in this patient?

Case #27-Ali Bozorgi

History:

A 46 years old lady referred for evaluation of wide complex tachycardia.

Both ECG in Arrhythmia and sinus rhythm are given:

Question:

What is your most probable diagnosis?

Case #37-Ali Bozorgi

History:

A 54 years old man with Preexcitation.ECG is shown:

Question:

Where is accessory pathway?

Case #191-Sarah Taaghi

History:

46 years old lady, presented to the ER with chief complaint of sudden weakness , low blood pressure and presyncope. 
 She was diagnosed with hypertension from 5 years ago and was on Losartan 25 mg BID from then. 
In the ER her BP was 90/66 mmHg and she claimed  receiving 1000 ml Normal saline in a clinic before referring to the ER, and her SBP was 70 mmHg the time.
She denied overusing her medication and any other symptoms.
Below you can find ECG and echocardiogram.

Question:

what is your next step?

In Loving Memory of

Dr. Maryam Khoshnevis

MD, Cardiologist

Fellowship of Echocardiography

Faculty member of TUMS

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