Case #470-Ali Bozorgi

History:

A young boy underwent EPS for palpitations.EP trace of Ventricular pacing is shown below:

Question:

which statement is TRUE?

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 #540-Ali Bozorgi

History:

A electrocardiogram (ECG) of a young boy is shown below:

Question:

What is an appropriate statement to describe premature ventricular contractions (PVCs)?

Case #514-Samane Mohamadi

History:

A 56-year-old male was referred for an arrhythmia. Here you can find the 24h ECG Holter.

The patient had no complaint of palpitation.

Question:

What is the best diagnosis?

Case #366-Ali Bozorgi

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 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 #703-Siroos Nasiri

History:

A 23-year-old man with palpitations and frequent PVCs on surface ECG and Holter monitoring (PVC burden: 41%), referred for ablation. Below you can find ECG and EP tracing (Figs. A and B). 

Question:

What is the most likely site of origin of the premature ventricular contractions (PVCs)?

Case #606-Ali Bozorgi

History:

A middle-aged gentleman experiencing palpitations has undergone a Holter ECG, revealing frequent atrial tachycardia and a notable prevalence of frequent  PVC (27%). He was on beta-blocker with LVEF=35% Included below are two electrocardiograms (ECGs).

Question:

What is your plan?

Case #774-Siroos Nasiri

History:

A 55-year-old man with palpitations and WCT on surface ECG and history of successful previous VT ablation, referred for ablation. Surface ECG is shown:

Question:

Where is VT origin?

History:

A 68-year-old woman with history of diabetes mellitus, peripheral arterial disease, and breast cancer is referred to your outpatient clinic for decision regarding antithrombotic agents. In laboratory findings, creatinine and platelet count were 0.9 mg/dL and 88,000 × 109/L, respectively.

 

She was receiving Aspirin 80 mg daily, Rivaroxaban 2.5 mg BD, Pantoprazole 40 mg daily, Atorvastatin 40 mg BD, and Empagliflozin/Linagliptin 10/5 mg daily. Her chemotherapy regimen was Docetaxel + Carboplatin + Trastuzumab.

Question:

Which is your preferred antithrombotic regimen?

History:

A 21-year-old man suffered a cardiac arrest during physical activity. Cardiopulmonary resuscitation (CPR) was performed for a duration of twenty minutes, and the patient was subsequently transported to the hospital. According to the EMS personnel, the patient had a VT rhythm during cardiac resuscitation, as indicated by the electrocardiogram and echocardiography.

Question:

 Which option is incorrect?

Case #199-Sarah Taaghi

History:

A 50 y/o male patient was admitted in the ICU, due to severe head trauma. He was unconscious (GCS:6) and his past medical history was not clear.
His SBP was 145 mmHg at the time of admission.Emergent craniotomy and hematoma drainage was performed and he was stable in the first day.

Cardiology consult was requested due to rise in Troponin level and ECG changes. 
In day 2, he became hypotensive, that was refractory despite initiating vasopressor agent.
You can find brain CT scan and ECG below.

 

Question:

What’s the best choice ?

History:

A 24-year-old man arrived at the emergency department complaining of pleuritic chest pain that commenced shortly after the initiation of playing tennis.

The patient's vital signs were documented as:

Blood pressure: 100/50 mmHg
Heart rate: 105 beats per minute
Respiratory rate: 18 breaths per minute
Temperature: 36.5°C

 

Those are the initial ECG that was taken 10 minutes after arrival:

 

Question:

What is the best next management strategy?

Case #342-Ali Bozorgi

History:

A 24-year-old patient with PVC burden of 33%, low LVEF=20%, ECG and echo are shown.

Question:

what is the best strategy for the patient?

Case #381-Ali Bozorgi

History:

A middle-aged patient came to ED for an ICD shock. The tracing of shock delivery is shown:

Question:

what is your interpretation?

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:

A 44 y/o man underwent echocardiography for routine follow up, he had a history of congenital heart disease which was corrected by percutaneous intervention.

Question:

According to the echocardiography, can you guess the procedure of his past intervention?

Case #771-Samane Sardari

History:

A 52-year-old man with a past medical history of hypertension presents with dyspnea. Myocardial perfusion imaging demonstrates reversible ischemia in the anterior wall territory. Elective coronary angiography sequence is displayed below.

Question:

Based on the most likely diagnosis, which of the following options is incorrect?

History:

A 34 y/old women admitted with fever, weakness and malaise from 3 weeks ago and 4 Kg 
weight loss from 1 month ago, She had a dental procedure 45 days ago, took Amoxicillin 500 mg TD
BP: 138/112   HR: 91RR: 22  T: 37.6 SaO2: 96% 
Mild splenomegaly detected ,WBC:12700 PMN:78% CRP ++ ESR :56

Echocardiography is shown:

Question:

What is the most probable diagnosis?

Case #183-Ali Bozorgi

History:

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:

Question:

According to 3D mapping, which option could be the etiology of AF recurrence?

In Loving Memory of

Dr. Maryam Khoshnevis

MD, Cardiologist

Fellowship of Echocardiography

Faculty member of TUMS

Case Categories:

by Clinical diagnosis
by Modality

User's Profile ()