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?
History:
A 68 years old lady underwent CRT-D implantation. Biventricular pacing is could not be achieved after implantation Fluoroscopy and chest X-Ray of the patient are given. ECG after implant also given:
Question:
What is wrong with the device?
History:
A 66 y/o man underwent coronary angiography for evaluation of patients dyspnea.
Question:
which statement is true about our patient?
History:
A 52 y/o lady with recent dual chamber pacemaker implantation presented by dizziness.
ECG and Chest XRay are shown.
PPM analysis showed Normal RA and RV impedance, Normal Atrial lead sense and pacing, no RV capture.
Question:
What is the etiology of device malfunction?
History:
A 41 y/o female patient with AKI on CKD, experienced a sudden episode of palpitation and chest pain afterwards. The episode lasted for 10 minutes and ended spontaneously. She also recalled an episode of syncope 2 months ago. 2 weeks ago her brother died suddenly at the age of 37.
Below you can find her ECG.
Question:
Which one is not your choice?
History:
60 y/o woman with history of valve surgery and pacemaker implantation came to ED complaining of new onset dyspnea.
Question:
which statement is true about patient diagnosis?
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 59-year-old male was admitted to our emergency department with general weakness. He had been a heavy smoker (45 packs per year); however, he denied any past medical conditions and taking medication. On examination at first hospitalization, he was afebrile with respiratory rate, and blood pressure of 16 breaths/Min and 125/74 mmHg, respectively. He has a widespread wheeze of auscultation of the chest.
Question:
What is the best next plan?
History:
45-year-old patient with Frequent PVC (30%) with LVEF=40%, underwent EPS ablation, below you can find Fleuoro shot of the ablation procedure :
Question:
Name the LOCATION of each catheter.
History:
A 40 y/o man with narrow complex tachycardia. Both ECG and EP tracing are shown.
Question:
What is your diagnosis?
History:
A 83 years old man (case #100) is presented with pacemaker malfunction.
Reports of PPM analysis are shown.
Question:
Based on programming results which diagnosis is unlikely?
History:
This EKG was observed in a patient with myocardial infarction,
Question:
Which of the following statements about the arrhythmia shown in this EKG, observed in the setting of an acute myocardial infarction, is NOT correct?
History:
A middle-aged woman presented to the ER with pre-syncope. Below are the serial ECGs taken in the ED:
Question:
Which arrhythmias are seen?
History:
A 57 y/o woman underwent coronary evaluation because exertional chest pain started one year ago.
coronary angiography is shown:
Question:
What is your most likely diagnosis?
History:
A 65 y/o man underwent coronary angiography for evaluation of atypical chest pain starting from 6 months ago; his past medical history was unremarkable regarding the risk factors of atherosclerotic coronary artery disease.
coronary angiography was shown:
Question:
According to patients CAG ,Which recommendation is not recommended in this patient?
History:
A 19-year-old patient was referred for an arrhythmia accompanied by traumatic syncope. The rest and arrhythmia ECG are shown:
Question:
What are the diagnosis and best choice of treatment?
History:
An 82-year-old lady came to the ER with the chief complaint of palpitation, she denied any complaints of dyspnea and chest pain, and her past medical history was remarkable for Dual chamber pacemaker implantation 6 months ago due to complete AV block.
Question:
what is the best next step ?
History:
A 48-year-old man with ischemic cardiomyopathy (ICMP) underwent implantation of an implantable cardioverter-defibrillator (ICD) for primary prevention. He presents to the emergency department reporting six episodes of ICD shocks.
Question:
Based on the device interrogation findings provided, which diagnosis is the most appropriate?
History:
36-year-old female with hypercholesterolemia presents to the emergency room with 3 hours of chest pain and the following ECG.
Question:
How would you manage this patient based on this ECG?
History:
A young lady with palpitations. ECG of the arrhythmia is presented below.
Question:
Which diagnosis is NOT probable?
In Loving Memory of
Dr. Maryam Khoshnevis
MD, Cardiologist
Fellowship of Echocardiography
Faculty member of TUMS
