Case #335-Ali Bozorgi

History:

A middle-aged lady with wide complex tachycardia underwent EPS. ECG of Arrhythmia and an EP tracing of high RA pacing are shown below:

Question:

What is the most probable diagnosis?

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 #649-Shayan Shahi

History:

A 57-year-old gentleman with a history of NICMP ( EF:20%) underwent ICD implantation three years ago due to episodes of VT and came to our ED with a chief complaint of multiple episodes of ICD Shock.

Below are four shots of his arrhythmia episode:

Question:

What is the diagnosis?

Case #119-Motahare Hatami

History:

17 y/o girl underwent catheterization for evaluation of congenital heart disease. Catheterization is shown:

Question:

Which one of the following congenital anomaly could NOT explain this catheterization course?

Case #112-Ali Bozorgi

History:

35 y/o man with Ebstein anomaly. ECG tracing is shown.

Question:

What is TRUE statement regarding 12 lead ECG :

Case #654-Sarah Taaghi

History:

A 56 years old male patient with palpitations and frequent PVCs on surface ECG with PVCs burden of 40% on Holter monitoring , referred for ablation. Below you can find the  surface electrocardiogram.

Question:

Based on the surface ECG , what is the most possible localization for PVCs.

Case #731-Ali Bozorgi

History:

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

Question:

Which statement is NOT correct about this tracing:

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 #363-Ali Bozorgi

History:

A 58-year-old patient with inferior STEMI. ECG is shown.

Question:

What is the rhythm? What is the reason for such a rhythm?

Case #110-Ali Bozorgi

History:

A 45 y/o lady underwent EPS for evaluation of wide complex tachycardia.

EP tracing is shown:

Question:

What is the best explanation for this tracing?

Case #279-Ali Bozorgi

History:

A middle aged patient underwent EPS and Ablation for palpitation, ECG of arrhythmia before and after Adenosine are given with a trace of EP. 

Question:

What is the most possible diagnosis?

Case #511-Ali Bozorgi

History:

A 53 years old man with a history of CAD and PCI came to the emergency department with loss of consciousness, successful CPR was performed. Below you can find some ECGs obtained from him. He was opium user, recently changed to Methadone.

Question:

Which statement is NOT correct?

Case #596-Ali Bozorgi

History:

A woman aged 30, with a known history of dilated cardiomyopathy (left ventricular ejection fraction, LVEF, at 15%), reported experiencing palpitations. Subsequently, three electrocardiograms (ECGs) were conducted and are presented below:

Question:

What types of arrhythmias are currently evident?

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?

Case #111-Ali Bozorgi

History:

A 45 y/o lady underwent RF ablation for a focal Ventricular Tachycardia. A tracing is shown.

Question:

What EP tracing show us?

Case #76-Ali Bozorgi

History:

A 31 years old man was admitted to hospital with Non-STEMI. He had no known coronary artery disease (CAD) risk factors, but had a history of prolonged unexplained febrile disease when he was five years old. Coronary angiography performed. Two shots are given below.

Question:

What is the most likely etiology?

History:

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

Question:

What is your most likely diagnosis for our 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 #263-Sarah Taaghi

History:

A 46 y/o male patent came in to clinic for outpatient follow up , 5 years ago he underwent cardiac surgery.

Bellow you can find his echocardiogram.

Question:

What was his cardiac surgery ?

Case #680-Aghil Zarbini

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?

In Loving Memory of

Dr. Maryam Khoshnevis

MD, Cardiologist

Fellowship of Echocardiography

Faculty member of TUMS

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