A 60 y/o lady underwent echocardiography for evaluation of chest pain.
What is your most likely diagnosis for our patient?
A 51-year-old woman with a history of hypertension and thyroid surgery eight years ago was brought to the emergency department due to severe generalized weakness that began a few hours prior. She was awake but uncooperative in providing a detailed history. Her blood pressure was recorded at 225/146 mmHg. An ECG was performed (which is shown below).
Which management strategy is most likely to benefit the patient?
Below you can find the Activation map and propagation map of a case with narrow complex tachycardia.
Based on these movies, which statement is TRUE?
a 65-year-old lady known case of CHF, Severe MR, Severe TR, and cardiac cirrhosis, with a history of PPM implantation 1 year ago due to episodes of transient CHB came to the ER complaining of palpitation 2 days ago.
Her ECG is shown below
which diagnosis is less possible for this ECG?
A middle-aged lady had EPS for several episodes of palpitations, An EP trace during RF ablation is shown:
What is inferred from this tracing?
A 24-year-old woman complains of pleuritic chest pain since two days ago. The patient's pain is constant and has not decreased. The patient mentions the history of taking bodybuilding supplements and has complained of chronic cough for the past six months.
He did not complain of a recent cold or coryza symptoms.
DH: Negative
FH: Negative
Vital signs: BP:120/80, PR:75, RR:18, T:37℃
Lab findings: WBC:14000(N:70%), Plt:330,000 , CRP:NL, Trop:1200
According to angiography, which finding is incorrect?
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 79-year-old man with a history of complete heart block and pacemaker implantation in 2020 without coronary artery evaluation. He is currently hospitalized with NSTEMI and is a candidate for coronary angiography.
According to the following ECG strip (Figure 1), what is the most probable diagnosis?
A middle-aged man with MVR, EPS performed, Below are the findings: ECG during arrhythmia, EP tracings, fluoroscopic imaging, and sinus rhythm ECG.
What is the best explanation?
A 17-year-old male with no significant past medical history presented with the chief complaint of palpitations. His surface electrocardiogram (ECG) and electrophysiological study (EPS) are illustrated below:
Choose correct answers about his arrhythmia?
A 70 years old man with a history of hypothyroidism and CHF came to the clinic without any complaints.
3 years ago, An ICD DR was implanted for him.
He takes these drugs:
Amiodarone 200mg BD, ASA 80mg Daily, Pantoprazole 40 mg Daily, Losartan 25 mg Daily, spironolactone 25mg Daily;
According to the shown ECG, which action is more correct?
A young woman with an antrospetal accessory pathway (AP) underwent an electrophysiology study (EPS) and ablation. Following the procedure, adenosine was administered to confirm the elimination of the AP pathway. The tracing below was recorded during the adenosine injection
Which statement is NOT correct about this tracing:
A 60 y/o man was admitted to hospital for elective cholecystectomy. During hospitalization suddenly he appeared to have sudden onset of chest pain. An ECG was done during chest pain, and your colleague request an emergent cardiology consult because of dynamic ECG change compare to the admission time ECG.
According to the patients ECG, where is the culprit vessel?
Below you can find BP recording of a patient during EP study for SVT.
which statement is wrong?
A 35 y/o man is candidated for ETT for evaluation of his chest pain. His baseline ECG before ETT was shown:
What is the Rhythm?
A 32 y/o young man with congenital heart disease admitted to hospital for surgery. ECG is shown:
What is your best diagnosis according to ECG?
Below you can find the EP tracing of a patient with narrow complex tachycardia.
Which one is not present in the tracing?
Case: Middle-aged lady with palpitations and previous failed ablation at another center. ECGs below. (rest and tachycardia)
What is the most probable diagnosis?
A 52-year-old gentleman reffered for EP study, due to episodic palpitations and wide complex tachycardia requiring cardioversion in ER.
During EPS, the HV interval was 90 msec, and arrhythmia was induced with burst pacing.
Below you can find 12-lead ECG (during tachycardia, sinus rhythm ) and EP tracings.
What is the most probable diagnosis?
A 76-year-old lady with past medical history of hypertension, opium addiction, ischemic heart disease and permanent pacemaker presented with chief complaint of severe at rest chest pain. ECG showed no ischemic changes. There was mild increase on troponin. Transthoracic echocardiography showed normal ejection fraction,no regional wall motion abnormality, no significant valvular abnormality, normal right ventricle and dilated ascending aorta.
CT Angiography of aorta with and without contrast was done:
what is the diagnosis?
In Loving Memory of
Dr. Maryam Khoshnevis
MD, Cardiologist
Fellowship of Echocardiography
Faculty member of TUMS