A 70 years old man underwent biologic aortic valve replacement 3 days ago. He had history of GI bleeding last year. Coronary angiogram showed mild CAD. His rhythm is normal sinus and vital signs are unremarkable.
According to the latest guidelines which anticoagulant and/or antiplatelet therapy do you suggest after discharge?
A young man with palpitation underwent EPS. An EP trace is given:
Three beats are marked, explain each of them separately :
A 35 y/o woman underwent Echocardiography for evaluation of holosystolic Murmur.
What is your most liklely diagnosis?
A 27 years old man with palpitations and presyncope. ECG and EP tracings are shown :
Which option shows the best diagnosis and treatment for this patient?
49 years old man underwent EPS ablation for atrial flutter, coronary angiography also performed. Below you can find a shot of angiography:
What is the most probable diagnosis?
A 40 years old man with palpitation and manifest preexcitation, ECG is shown:
What is accessory pathway localization?
55 years old lady underwent EPS for recurrent palpitations.
Two EP tracing is shown.
Which diagnosis is unlikely?
A woman in her 20s presented to the EP lab with wide complex tachycardia. Below is the 12-lead ECG.
What is the most probable diagnosis?
A middle-aged patient with frequent PVC underwent EPS and ablation.
Based on 12 lead ECG which statement is NOT true?
A 72 years old lady with recurrent palpitation, ECG during palpitation is shown:
What is the most probable diagnosis?
A middle-aged patient with a history of atrial septal defect (ASD) repair underwent an electrophysiology study (EPS) with Precision. Below, you can find the propagation and sparkle map.
What is the most probable mechanism of arrhythmia?
A middle-aged patient underwent EPS and Ablation for incessant arrhythmia, below you can find 12 lead ECG and EP tracings of the patient.
What is the most probable arrhythmia?
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.
what is your most persumptive diagnosis for this patient?
Analysis was conducted on a middle-aged patient who experienced an ICD shock; the corresponding tracing is provided below:
Which statement is wrong?
A 70-year-old diabetic woman presents to the emergency department with complaints of weakness, fatigue, and pain in her lower extremities
What initial action does the ECG (Electrocardiogram) suggest?
50 y/o man underwent echocardiography for evaluation of orthopnea .
Trans-thoracic Echocardiography is shown.
which one is NOT seen in this echocardiography?
A 32-year-old patient with palpitations underwent EPS and ablation, below ECG during arrhythmia is shown:
What diagnosis is less possible?
An elderly woman with a history of a dual-chamber permanent pacemaker (PPM) from years ago presented with complaints of dizziness. The accompanying ECG and device tracing are provided for further evaluation.
Given the device tracing, which plan would be more suitable?
A 63 years old man with normal LVEF and history of palpitations and dizzi spells, underwent EP study.
ECG and EP tracing are shown :
According to EPS what is your diagnosis and next step of treatment?
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:
Based on most likely diagnosis, What is your recommendation?
In Loving Memory of
Dr. Maryam Khoshnevis
MD, Cardiologist
Fellowship of Echocardiography
Faculty member of TUMS