History:
A 17-year-old girl with palpitations underwent EPS, Two tracings of basic ECG and arrhythmia are shown.
Question:
What is the etiology of arrhythmia?
History:
A 45 y/o lady came to ED complaining of atypical chest pain. According to ECG changes, two sets of troponin were sent, which came negative.
ECG & Coronary angiography were shown:
Question:
Which one of the following was not seen in the angiography?
History:
A 43-year-old gentleman with a known case of Apical HCM underwent 48-h ECG holter monitoring for SCD risk stratification.
Below is one shot from his ECG Holter Monitoring :
Question:
Which one is the best next step?
History:
55 years old woman with history of episodic atrial fibrillation and severe mitral regurgitation who was on warfarin from 1 year ago, underwent Mitral Valve Replacement (MVR) 4 days ago. She was transferred to post-ICU ward in sinus rhythm but the palpitation suddenly begun (below ECG).
Her vital signs were as follows: BP 95/60, No fever, Acceptable Respiratory Rate, Heart Rate 130.
Bed-side Echocardiography showed moderate Left Ventricle (LV) dysfunction (EF 35-40%), mild Right Ventricle (RV) dysfunction, Good MV bileaflet motion and dilated Left atrium (LA).
Question:
What is your diagnosis and reasonable therapeutic approach?
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?
History:
A busy day at emergency department! 4 patient with history of prosthetic valve surgery come to ED complaining of dyspnea. Fluoroscopies were shown:
Question:
Which statement is TRUE about these patients?
History:
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.
Question:
Based on the diagnosis, which one is correct?
History:
54 years old lady with history of dual chamber pacemaker implantation presented by dizziness and syncope.
look at ECG, Chest Xray , and device programming:
Question:
According to findings what is the best explanation for device malfunction?
History:
A middle-aged lady had EPS for several episodes of palpitations, An EP trace during RF ablation is shown:
Question:
What is inferred from this tracing?
History:
A 38-year-old male presented with narrow complex tachycardia candidate for eps ablation. other than palpitation he had no other complaint.
EPS has been planned.
Based on an echo which can be seen below.
Question:
whats is the next step according to the incidental finding?
History:
Below you can find a "plot diagram" of a patient with an ICD.
Question:
Which statement is WRONG?
History:
A 70 years old patient with history of prostate cancer, taking Abiraterone and Bicalutamide and Motoprolol came to ED with complaints of dizzy spell and snoring with convulsive movement especially when asleep.
Two ECGs are shown:
Question:
What are you going to do?
History:
A 30 years old patient underwent EPS for narrow complex tachycardia, EP tracing is shown below
Question:
Based on EP tracing what is your diagnosis?
History:
65 y/o man is evaluated for chest pain. He had a history of CABG. Angiography is shown:
Question:
Which statement is TRUE about the patient?
History:
A 49-year-old man with a history of hypertension and smoking presented to the emergency department complaining of chest pain that started approximately 8 hours ago. His vital signs were stable. ECG is shown below.
Question:
Which statement is true?
History:
A 54-year-old lady came with traumatic syncope. Echocardiogram was normal, SPECT showed no ischemia.ECG Holter monitoring is shown below.
Question:
what are the Diagnosis and plan?
History:
A 79-year-old man with palpitation underwent EPS, below you can find EP tracing.
Question:
What is your diagnosis base on EP tracing:
History:
Below You can find an EP tracing AFTER the ablation of a patient with orthodromic AVRT.
Question:
What is your interpretation?
History:
A middle-aged patient with palpitation underwent EPS. EP tracings are shown:
Question:
According to EP Tracings, what is the diagnosis?
History:
A 40 y/o man came to ED complaining of severe retrosternal chest pain which was started from 3 days ago.
ECG is shown:
Question:
According to ECG can you guess the location of occlusion in coronary artery?
In Loving Memory of
Dr. Maryam Khoshnevis
MD, Cardiologist
Fellowship of Echocardiography
Faculty member of TUMS
