Case #663-Samane Mohamadi

History:

A middle-aged man with a history of accessory pathway ablation came to our clinic with chief complaint of recurrent palpitations.
(ECG:1-2)
He was scheduled for EP study, and the accessory pathway was successfully ablated.
The day after, he was complaining of pleuritic chest pain.(ECG :3)

Bedside echo revealed mild pericardial effusion.

Question:

which statement is not correct?

Case #471-Ali Bozorgi

History:

A patient with Dual chamber ICD came for analysis, below you can find analysis tracing and chest X-ray.

Question:

According to analysis and chest x-ray, what is the probable diagnosis?

History:

A 75 y/o lady underwent echocardiography for evaluation of dyspnea. Echocardiography is shown:

Question:

Which statement is TRUE about the patient?

Case #507-AliReza Farzaei

History:

A male patient aged 68 years, with a non-recorded history of percutaneous coronary intervention (PCI), arrived at the emergency department complaining of chest pain that had begun a few hours prior. Following an ECG recording, a sudden cardiac arrest occurred, prompting immediate cardiopulmonary resuscitation (CPR) initiation involving chest compressions. The patient was immediately monitored and found to have ventricular fibrillation (VF) rhythm and a (DC) shock of 200 joules was administered, resulting in the restoration of sinus rhythm.

 

Question:

Based on the (ECG) obtained prior to the occurrence of cardiac arrest, and which is presented below, what would be the most appropriate course of action?

Case #136-Ali Bozorgi

History:

A 65 years old lady implanted dual chamber pacemaker recently, ECG and Chest X-Ray is shown.

Question:

Which statement is TRUE in this patient?

History:

A 60 y/o lady underwent echocardiography for evaluation of chest pain.

Question:

What is your most likely diagnosis for our patient?

Case #575-Ali Bozorgi

History:

A 67-year-old man with a history of frequent palpitations underwent EPS. Below you can find two tracings.

Question:

Which statement is WRONG?

Case #337-Ali Bozorgi

History:

An EP tracing of a patient with arrhythmia is shown.

Question:

What is the beat encircled?

Case #661-Sarah Taaghi

History:

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).

Question:

According to tracing A and B, which statement is correct?

Case #646-Ali Bozorgi

History:

A middle-aged man with a history of frequent admissions due to tachyarrhythmia and two unsuccessful ablation sessions. ECG and 3D mapping from an electrophysiology study (EPS) are shown:

Question:

Based on ECG and 3D mapping what is Wrong about this case?

Case #149-Kaveh Hosseini

History:

33 years old man underwent cardiac surgery 4 days ago. ICU head nurse called me to visit the patient for mild dyspnea. CXR was ordered. 

Question:

What do you think about the baseline pathology? what other abnormality do you see? 

Case #1-Ali Bozorgi

History:

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.

Question:

Which diagnosis would be most probable?

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 :

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 #635-Samane Mohamadi

History:

Following case 632, the patient underwent EPS and ablation. The tracings are displayed below.

Question:

Which statement is not correct?

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 #717-Ali Bozorgi

History:

Below, you can find the EP tracing of a middle-aged patient with palpitations.

Question:

Which statement is NOT correct?

Case #637-Shayan Shahi

History:

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

Question:

What is the best next step?

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?

Case #681-Aghil Zarbini

History:

A 19-year-old man with a history of smoking presented to the emergency department with chest pain and dyspnea that had been present for a few days. His vital signs were stable. An ECG is shown.

Question:

Which statement is true?

In Loving Memory of

Dr. Maryam Khoshnevis

MD, Cardiologist

Fellowship of Echocardiography

Faculty member of TUMS

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