Below you can find the movie of 3D mapping of atrial flutter performed with Ensite Precision.
Which statement is NOT correct?
A 55-year-old man with palpitations and WCT on surface ECG and history of successful previous VT ablation, referred for ablation. Surface ECG is shown:
Where is VT origin?
A 40 y/o man came to ED complaining of severe retrosternal chest pain which was started from 3 days ago.
ECG is shown:
According to ECG can you guess the location of occlusion in coronary artery?
A 35 y/o woman underwent Echocardiography for evaluation of holosystolic Murmur.
What is your most liklely diagnosis?
A 32-year-old male presents to the cardiology clinic with a history of palpitations and syncope. He reports that he has been experiencing these symptoms for the past six months, and they have been increasing in frequency and severity. He denies any chest pain or shortness of breath.
A transthoracic echocardiogram (TTE) reveals mild dilatation of the right ventricle (RV) with reduced RV function and an ejection fraction of 40%. The left ventricle (LV) is normal in size and function.
The EKG is shown.
Based on the diagnosis, which one is correct?
An 80 year old asymptomatic lady came with below ECG:
What is your diagnosis?
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).
According to tracing A and B, which statement is correct?
A 61-year-old man with a history of CABG is a candidate for elective cholecystectomy. He is relatively asymptomatic, and the 12-lead ECG is provided below.
What is your plan?
A 55 years old male, with a history of slow pathway ablation 2 years ago, Presented with palpitation most often.
Here you can find his ECG.
Which statment is wrong?
A woman in her 20s presented to the EP lab with wide complex tachycardia. Below is the 12-lead ECG.
What is the most probable diagnosis?
An EP tracing of a patient with arrhythmia is shown.
What is the beat encircled?
44-year-old man, with no symptoms, but two siblings experienced sudden cardiac death. ECG is shown below. He had normal electrolyte levels and no apparent heart disease.
What option is NOT present in his ECG?
A 31 y/o lady underwent Echocardiography for evaluation of systolic murmur with fixed S2 splitting. Echocardiography is shown:
What is your most likely diagnosis?
A 38 years old woman with history of valve replacement surgery (7 months ago) came to ER with DOE FC II from 3 weeks ago. Admission INR was 2.4.
She underwent fluoroscopy to evaluate the valve function.
Her vital signs were unremarkable.
What is the diagnosis and more suitable treatment strategy?
70 y/o man with history of CABG underwent coronary angiography for evaluation of exertional chest pain .
which statement is TRUE about the patient?
A 30 y/o woman underwent echocardiography for evaluation of dyspnea. She claimed that her dyspnea worsens while lying on the left side.
What is the most likely diagnosis?
A 60 years old man, Hx of Hypertrophic Cardiomyopathy, Mild CAD presented by recurrent palpitations converted to sinus rhythm with adenosine but reinitiate again. ECG is shown.
Which diagnosis would be most probable?
A 21-year-old man suffered a cardiac arrest during physical activity. Cardiopulmonary resuscitation (CPR) was performed for a duration of twenty minutes, and the patient was subsequently transported to the hospital. According to the EMS personnel, the patient had a VT rhythm during cardiac resuscitation, as indicated by the electrocardiogram and echocardiography.
Which option is incorrect?
A middle-aged patient underwent an electrophysiology study (EPS) and ablation; the tracing recorded during the ablation is available for review.
Which statement is wrong?
Case: Middle-aged lady with palpitations and previous failed ablation at another center. ECGs below. (rest and tachycardia)
What is the most probable diagnosis?
In Loving Memory of
Dr. Maryam Khoshnevis
MD, Cardiologist
Fellowship of Echocardiography
Faculty member of TUMS