Case #650-Ali Bozorgi

History:

A middle-aged patient underwent an electrophysiology study (EPS) and ablation; the tracing recorded during the ablation is available for review.

Question:

Which statement is wrong?

Case #668-Sarah Taaghi

History:

A 50-year-old woman was referred for an electrophysiology study due to frequent episodes of palpitations. Arrhythmia was induced with programmed stimulation, and below you can find tracings.

Question:

Which diagnosis is most probable?

Case #702-Ali Bozorgi

History:

A woman in her 60s underwent cryoballoon ablation for AF. Below are 3 consecutive EP tracings during LUPV cryoablation.

Question:

What is the best explanation for these tracings?

Case #544-Ali Bozorgi

History:

Below you can find 3D mapping and EP signals of a case of VT ablation: 

Question:

What statement is wrong in this case?

Case #374-Ali Bozorgi

History:

A middle-aged lady with a history of aortic valve replacement underwent a diagnostic angiogram due to Brady dysrhythmia, ECG and CAG are shown:

Question:

What is Brady dysrhythmia, and what is the most probable cause?

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 #336-Ali Bozorgi

History:

A young lady with palpitation underwent EPS and ablation. Surface resting ECG is shown.

Question:

What is the most probable diagnosis of the patient's arrhythmia?

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?

Case #657-Sarah Taaghi

History:

17 years old girl, was referred for EP study due to episodes of palpitations. 

bellow you can find tracings of arrhythmia, which was induced during EPS.

Question:

What is the most probable diagnosis, and which electrophysiologic phenomena is happening?  

Case #262-Sarah Taaghi

History:

A 62 y/o female pateint was presented with progressive dyspnea from 2 months ago and massive right sided pleural effusion. 

In her past medical history she had a pathologic L1 fracture 6 months ago and due to normochromic normocytic anemia, bone marrow biopsy was performed 10 days ago.

Bellow you can find ECG and echocardiogram.

Question:

which one has proven benefit in this setting ?

History:

A 14 y/o young girl came to your clinic complaining of multiple episode of sudden onset of palpitation, her main physician according to her ECGs during arrhythmia prescribe her verapamil 2 times a day.

Question:

according to ECGs ,what is your most likely diagnosis?

Case #463-Ali Bozorgi

History:

A 54 years old man with a history of STEMI and primary PCI months ago presented with palpitations, Rest ECG and the arrhythmia ECG are shown : 

Question:

What is the most possible diagnosis?

History:

An 18-year-old girl presented to the emergency room with a syncope episode while seated, lasting 20 seconds.

Question:

 Considering the echocardiography and electrocardiogram (ECG) findings, which diagnosis is unlikely?

Case #776-Ali Bozorgi

History:

A 52-year-old lady with frequent palpitations, below you can find the ECG and EP tracing.

Question:

What is the most likely diagnosis?

Case #154-Ali Bozorgi

History:

A 63 y/o lady with LVEF=40% and Mild CAD, All ECG tracing showed irregular arrhythmia, three are shown:

Question:

What is the rhythm in this lady with tachycardia induced cardiomyopathy? 

History:

35 y/o woman with history of previous valvular surgery, underwent Echocardiography for routine checkup.

Question:

Which statement is TRUE about patient?

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 #494-Ali Bozorgi

History:

A young boy with frequent palpitations, below you can find EP tracing of arrhythmia and also post-pacing interval.

Question:

What is the most probable diagnosis?

History:

A 80 years old woman came to ED with Dizziness and Nausea.

Past Medical Hx : DM,HTN,CKD,CVA

ECG is shown:

Question:

What is your best diagnosis and treatment for this case ?

Case #95-Kaveh Hosseini

History:

A 63 years old male came to emergency department with typical chest pain from 2 days ago. Urgent coronary angiography was done. 

Question:

What does coronary angiogram show? 

In Loving Memory of

Dr. Maryam Khoshnevis

MD, Cardiologist

Fellowship of Echocardiography

Faculty member of TUMS

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