Case #258-Kaveh Hosseini

History:

A 70 years old man underwent biologic aortic valve replacement 3 days ago. He had history of GI bleeding last year. Coronary angiogram showed mild CAD. His rhythm is normal sinus and vital signs are unremarkable. 

Question:

According to the latest guidelines which anticoagulant and/or antiplatelet therapy do you suggest after discharge?  

Case #288-Ali Bozorgi

History:

A young man with palpitation underwent EPS. An EP trace is given:

Question:

Three beats are marked, explain each of them separately :

History:

A 35 y/o woman underwent Echocardiography for evaluation of holosystolic Murmur.

Question:

What is your most liklely diagnosis?

Case #459-Ali Bozorgi

History:

A 27 years old man with palpitations and presyncope. ECG and EP tracings are shown : 

Question:

Which option shows the best diagnosis and treatment for this patient?

Case #128-Ali Bozorgi

History:

49 years old man underwent EPS ablation for atrial flutter, coronary angiography also performed. Below you can find a shot of angiography: 

Question:

What is the most probable diagnosis?

Case #28-Ali Bozorgi

History:

A 40 years old man with palpitation and manifest preexcitation, ECG is shown:

Question:

What is accessory pathway localization?

Case #106-Ali Bozorgi

History:

55 years old lady underwent EPS for recurrent palpitations.

Two EP tracing is shown.

Question:

Which diagnosis is unlikely?

Case #708-Ali Bozorgi

History:

A woman in her 20s presented to the EP lab with wide complex tachycardia. Below is the 12-lead ECG.

Question:

What is the most probable diagnosis?

Case #623-Ali Bozorgi

History:

A middle-aged patient with frequent PVC underwent EPS and ablation.

Question:

Based on 12 lead ECG which statement is NOT true?

Case #320-Ali Bozorgi

History:

A 72 years old lady with recurrent palpitation, ECG during palpitation is shown:

Question:

What is the most probable diagnosis?

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 #375-Ali Bozorgi

History:

A middle-aged patient underwent EPS and Ablation for incessant arrhythmia, below you can find 12 lead ECG and EP tracings of the patient.

Question:

What is the most probable arrhythmia? 

History:

A 66 y/o man came to your clinic for evaluation of his chest pain. He described his pain as a NYHA class III exertional chest pain from many years ago.

Question:

what is your most persumptive diagnosis for this patient?

Case #612-Ali Bozorgi

History:

Analysis was conducted on a middle-aged patient who experienced an ICD shock; the corresponding tracing is provided below:

Question:

Which statement is wrong?

History:

A 70-year-old diabetic woman presents to the emergency department with complaints of weakness, fatigue, and pain in her lower extremities

Question:

What initial action does the ECG (Electrocardiogram) suggest?

History:

50 y/o man underwent echocardiography for evaluation of orthopnea .

Trans-thoracic Echocardiography is shown.

Question:

which one is NOT seen in this echocardiography?

Case #339-Ali Bozorgi

History:

A 32-year-old patient with palpitations underwent EPS and ablation, below ECG during arrhythmia is shown:

Question:

What diagnosis is less possible?

Case #586-Ali Bozorgi

History:

An elderly woman with a history of a dual-chamber permanent pacemaker (PPM) from years ago presented with complaints of dizziness. The accompanying ECG and device tracing are provided for further evaluation.

Question:

Given the device tracing, which plan would be more suitable?

Case #234-Ali Bozorgi

History:

A 63 years old man with normal LVEF and history of palpitations and dizzi spells, underwent EP study.

ECG and EP tracing are shown :

Question:

According to EPS what is your diagnosis and next step of treatment?

Case #152-Motahare Hatami

History:

A 52 y/o lady was admitted to hospital 3 days ago. She received thrombolytic 3 days ago based on initial diagnosis of inferior STEMI .After 3 days, chest pain recurred again, and you called for evaluation of the chest pain.

ECG of day 1,2 & 3 are shown:

Question:

Based on most likely diagnosis, What is your recommendation?

In Loving Memory of

Dr. Maryam Khoshnevis

MD, Cardiologist

Fellowship of Echocardiography

Faculty member of TUMS

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