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 #384-Ali Bozorgi

History:

A middle-aged patient with wide complex tachycardia presented in ER. A rhythm strip and 12 lead ECG are shown below:

Question:

What is your diagnosis?

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 #515-Ali Bozorgi

History:

Below you can find EP tracings of AF cryo-ablation of a young lady with paroxysmal AFib.

Question:

Which statement is WRONG about these tracings?

Case #519-Samane Mohamadi

History:

A beautiful smart young doctor with frequent paroxysmal palpitations, EP tracing is shown below:

Question:

What is the diagnosis?

Case #642-Shayan Shahi

History:

According to case 641.

Question:

 What is the best plan for managing his arrhythmia?

Case #136-Ali Bozorgi

History:

A 65 years old lady implanted dual chamber pacemaker recently, ECG and Chest X-Ray is shown.

Question:

Which statement is TRUE in this patient?

Case #516-Samane Mohamadi

History:

A 64-year-old lady came to your clinic with the chief complaint of palpitation. The 24-hour ECG Holter is shown below:

Question:

What's the  accurate diagnosis for the WCT revealed in ECG holter?

Case #777-Siroos Nasiri

History:

A 39-year-old man with history of DCM and reduced LVEF (25%), presented with palpitations and frequent PVC on surface ECG and Holter monitoring (PVC Burden: 40%), referred for ablation. EPS was done by 3D NAVX/Precision mapping guide. Initially, Based on surface ECG which was compatible with LV summit origin, mapping was started within CS, the best earliest signal was found in GCV (-42ms). RF applied on aforementioned area, but PVCs did not disappear. So, mapping was done via retrograde trans-aortic approach. After maintaining safe distance from LM,LCX and LAD by coronary angiography and considering correspondent point from epicardial mapping, the best earliest point was found around ILT area (-44ms). RF applied on aforementioned area and PVCs disappeared immediately.

 

Four fluoroscopic views and surface ECG are shown.

Question:

Which of the fluoroscopic views is in favor of catheter ablation position in the ILT (Inter Leaflet Triangle)?

Case #259-Ali Bozorgi

History:

A 35 years old man with palpitations and low LVEF=40%, ECG and Holter tracings are shown:

Question:

What is your diagnosis and treatment plan?

Case #188-Ali Bozorgi

History:

A 60 years old man with sustained arrhythmia and low LVEF (ECG below) underwent EPS and RF ablation, propagation mapping of right atrium and ECG is shown: 

Question:

In regard to ECG and propagation mapping of RA, what is the possible arrhythmia?

Case #698-Samane Sardari

History:

A 51-year-old man with no known coronary risk factors presented to the emergency department (ED) with a four-day history of chest pain.

Question:

Based on the patient’s ECG findings, which of the following is the most appropriate next step?

Case #625-Ali Bozorgi

History:

A middle-aged patient with a history of atrial septal defect (ASD) repair underwent an electrophysiology study (EPS) with Precision. Below, you can find the propagation and sparkle map.

Question:

What is the most probable mechanism of arrhythmia? 

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 #37-Ali Bozorgi

History:

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

Question:

Where is accessory pathway?

History:

A 44 y/o man underwent echocardiography for routine follow up, he had a history of congenital heart disease which was corrected by percutaneous intervention.

Question:

According to the echocardiography, can you guess the procedure of his past intervention?

Case #496-Ali Bozorgi

History:

A patient came to the Emergency department with dizziness, she was implanted with a dual-chamber pacemaker a year ago. Below you can find the ECG of the patient and Chest X-Rays of the implantation date and a new one.

Question:

Which statement is NOT correct?

Case #606-Ali Bozorgi

History:

A middle-aged gentleman experiencing palpitations has undergone a Holter ECG, revealing frequent atrial tachycardia and a notable prevalence of frequent  PVC (27%). He was on beta-blocker with LVEF=35% Included below are two electrocardiograms (ECGs).

Question:

What is your plan?

Case #475-Ali Bozorgi

History:

A 16 years old girl with palpitations underwent EPS and ablation. Below you can find tracings of normal sinus rhythm and tachycardia and also EP tracing of the patient.

Question:

What is FALSE about this case?

Case #563-Ali Bozorgi

History:

70 years old man with a history of ICD implantation, was admitted for ICD shock. Below you can find the tracings of the patient.

Question:

What statement is wrong?

In Loving Memory of

Dr. Maryam Khoshnevis

MD, Cardiologist

Fellowship of Echocardiography

Faculty member of TUMS

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