Case #642-Shayan Shahi

History:

According to case 641.

Question:

 What is the best plan for managing his arrhythmia?

Case #374-Ali Bozorgi

History:

A middle-aged lady with a history of aortic valve replacement underwent a diagnostic angiogram due to Brady dysrhythmia, ECG and CAG are shown:

Question:

What is Brady dysrhythmia, and what is the most probable cause?

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?

Case #682-Aghil Zarbini

History:

A 56-year-old man with no known cardiac risk factors presented to our clinic for further evaluation following survival from sudden cardiac arrest (SCA) one week prior at an outside facility. The patient denied any cardiac symptoms, including chest pain or dyspnea. Vital signs were stable at presentation. ECG did not lead to any specific pathology. Echocardiography is shown

Question:

Which statement is false?

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?

Case #477-Ali Bozorgi

History:

A middle-aged lady came to the clinic with atypical chest pain.ECG is shown below:

Question:

What is WRONG about the ECG?

Case #307-Motahare Hatami

History:

A 35 y/o man with a history of BAV was admitted to the hospital. He was complaining of retrosternal chest pain, due to clinical suspicion for aortic dissection D-dimer test was checked and was positive.

CT angiography is shown:

Question:

the arrow points to....?

Case #260-Ali Bozorgi

History:

A 21 years old girl with frequent palpitations, both ECG and Holter are shown:

Question:

What is the diagnosis? Which complication should be considered with  RF ablation ?

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 #5-Ali Bozorgi

History:

39 years old man referred for RF ablation after an unsuccessful ablation in another center

ECG showed wide complex tachycardia. Normal sinus rhythm ECG was also given.

 

Question:

According  to NSR ECG and arrhythmia what is the most probable diagnosis?

Case #541-Samane Mohamadi

History:

A 39-year-old woman is experiencing paroxysmal palpitations. Below are the electrophysiological (EP) tracings.

Question:

What is the most probable diagnosis?

Case #471-Ali Bozorgi

History:

A patient with Dual chamber ICD came for analysis, below you can find analysis tracing and chest X-ray.

Question:

According to analysis and chest x-ray, what is the probable diagnosis?

Case #780-Ali Bozorgi

History:

A man in his 70s presented with frequent premature ventricular complexes (PVCs) and a reduced left ventricular ejection fraction (LVEF). The morphology of his PVCs is shown below.

Question:

What is the origin of PVC?

Case #337-Ali Bozorgi

History:

An EP tracing of a patient with arrhythmia is shown.

Question:

What is the beat encircled?

Case #224-Ali Bozorgi

History:

A 62 years old lady with history of previous flutter ablation, she was candidate for Precision 3D mapping RF ablation, EPS and ablation is shown below:

Question:

Which statement is False about the procedure?

History:

A 64-year-old woman, known to be hypertensive and on amlodipine, was diagnosed with breast cancer 6 months ago. She completed 6 cycles of chemotherapy, with the last one administered 4 weeks ago, in preparation for radical mastectomy and axillary clearance.

She presents to the cardiology clinic complaining of shortness of breath. On examination, her blood pressure is 105/80 mmHg, pulse is 90 bpm, and regular. Bibasilar crackles were noted on auscultation of her chest.

Her ECG showed non-specific ST changes in the anterior leads.

 

 

Question:

Based on this clinical presentation and the chest X-ray (CXR) shown below, what is your diagnosis?

Case #603-Ali Bozorgi

History:

A 68-year-old man with a left ventricular ejection fraction (LVEF) of 25%, experiencing frequent premature ventricular contractions (PVCs) at a burden of 45%, and mild coronary artery disease (CAD). The 12-lead ECG is displayed below.

Question:

Which statement is FALSE?

Case #92-Ali Bozorgi

History:

22 y/o girl referred to EP clinic with LVEF=30% with global HK and "arrhythmia"

Two ECG is shown.

Question:

What is the most likely diagnosis?

Case #388-Ali Bozorgi

History:

A middle-aged patient underwent EPS for palpitations, EP tracings are shown below:

Question:

What is the etiology of the arrhythmia?

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?

In Loving Memory of

Dr. Maryam Khoshnevis

MD, Cardiologist

Fellowship of Echocardiography

Faculty member of TUMS

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