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 24-year-old patient with LVEF=30%, DOE FC2, No palpitations. below you can find the resting ECG.
What is your plan?
A 31 years old woman presented with paroxysmal palpitation.here there is her ECG Holter.
Which statement is NOT correct?
A 68-year-old male, cigarette smoker, presented with dizziness and dyspnea.
here there are the ECG of the patient's arrival and the ECG in the course of admission.
Which statement is correct?
85 y/o man came to emergency department complaining of episodes of palpitation. He had echocardiogram in his documents stating that he had a LV ejection fraction about 15%. ECG was shown:
what is your most likely diagnosis?
A 30 y/o man underwent catheterization for evaluation of congenital heart disease.
One shot of catheterization is shown:
Can you guess the catheterization course?
Below you can find EP tracings of AF cryo-ablation of a young lady with paroxysmal AFib.
Which statement is WRONG about these tracings?
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 54-year-old lady came with traumatic syncope. Echocardiogram was normal, SPECT showed no ischemia.ECG Holter monitoring is shown below.
what are the Diagnosis and plan?
A 42-year-old male presented to the ED with a chief complaint of brief loss of consciousness earlier this morning. He had no history of cardiovascular disease. The initial ECG is shown below. While monitoring the patient, the resident observed an episode of tachyarrhythmia, and a second ECG was taken.
What is the most appropriate course of action for this patient?
A 44-year-old lady with history of exertional dyspnea FC 1-2 referred for interventional cardiac procedure. She complained DOE from 2 years ago. Trans thoracic echocardiography showed mild LV dilation with normal function and normal pulmonary artery pressure.
Which procedure was done for the patient?
A beautiful smart young doctor with frequent paroxysmal palpitations, EP tracing is shown below:
What is the diagnosis?
A 30 y/o lady referred to our hospital with chief compliant of dyspnea FCII . According to trans thoracic echocardiography, she was candidate for device closure. The procedure is shown:
What is the procedure?
A 49-year-old woman with palpitations and frequent PVCs on surface ECG and Holter monitoring (PVCs burden: 15%), referred for ablation.
The surface ECG is shown below.
Which statement about this PVC type 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 65 years old lady with history of previous (3 years ago) cryoballoon for AFib, referred for recurrence of AF rhythm. She was candidated for RF ablation by Precision 3D mapping showed below:
According to 3D mapping, which option could be the etiology of AF recurrence?
A 64-year-old lady came to your clinic with the chief complaint of palpitation. The 24-hour ECG Holter is shown below:
What's the accurate diagnosis for the WCT revealed in ECG holter?
A young lady with minimal preexcitation underwent EPS, EP tracings are shown below
What is the possible diagnosis?
A 62-year-old male with a history of diabetes and hypertension presented to the clinic with a chief complaint of atypical chest pain persisting for the past 6 months. The physician decided to perform a myocardial perfusion imaging (MPI) scan with adenosine for him. Following adenosine injection, the patient experienced palpitations and dizziness. Below are the ECGs depicting the arrhythmia and sinus rhythm.
What is the most appropriate diagnosis and what is the plan?
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
What is the best next step?
In Loving Memory of
Dr. Maryam Khoshnevis
MD, Cardiologist
Fellowship of Echocardiography
Faculty member of TUMS