A 70 y/o man with left upper quadrant and hemothorax pain from last night
He had performed EVAR last year due to Abdominal Aorta Aneurysm
Bp:100/70 PR:100/min RR:18 Room air O2 sat:94%
WBC:12700 PMN 78% Hb:6.7 PLT:177000
Cr:1.7, Negative Tn
Abdominopelvic CT with IV contrast was done
What is your diagnosis and treatment?
A young patient with narrow complex tachycardia underwent EPS, An EP tracing is shown below.
What is NOT seen in EP tracing?
A 35 y/o woman was evaluated for shortness of breath.
Echocardiography is shown:
what is the most likely diagnosis?
Following case 632, the patient underwent EPS and ablation. The tracings are displayed below.
Which statement is not correct?
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.
Based on the diagnosis, which one is correct?
50 y/o woman with history of dyspnea on exertion underwent catheterization.
According to video of her catheterization & your presumptive diagnosis for her procedure can you guess which chamber is enlarged?
A 70 y/o with history of valve surgery underwent echocardiography.
Which statement is TRUE about the patient?
Below you can find a "plot diagram" of a patient with an ICD.
Which statement is WRONG?
A middle aged patient underwent EPS and Ablation for palpitation, ECG of arrhythmia before and after Adenosine are given with a trace of EP.
What is the most possible diagnosis?
A 65 years old lady implanted dual chamber pacemaker recently, ECG and Chest X-Ray is shown.
Which statement is TRUE in this patient?
An angiogram of the right coronary artery is shown with concomitant 12 lead ECG.
What happened and why?
A middle-aged lady with wide complex tachycardia underwent EPS. ECG of Arrhythmia and an EP tracing of high RA pacing are shown below:
What is the most probable diagnosis?
A 39-year-old man was brought to the emergency department by ambulance with presentation of sudden and complete LOC.
Basic life support was perform before arrival at the hospital. Cardiac monitoring showed ventricular fibrilation and patient recieved defibrilation then pulse became detectable. The first ECG which was taken 3minutes after DC shock is shown below.
Which of the statments presented here is true about 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 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.
Which statement is NOT correct?
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.
According to the echocardiography, can you guess the procedure of his past intervention?
A 36 y/o young man came to ED complaining of retrosternal chest pain. His serial troponin enzyme came normal,he had no risk factor for coronary artery disease. he was also a professional athlete.
This ECG is most consistant with which one of the following?
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
What is the best next step?
85 y/o man came to emergency department complaining of episodes of palpitation. He had echocardiogram in his documents stating that he had a LV ejection fraction about 15%. ECG was shown:
what is your most likely diagnosis?
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?
In Loving Memory of
Dr. Maryam Khoshnevis
MD, Cardiologist
Fellowship of Echocardiography
Faculty member of TUMS