Case #545-Samane Mohamadi

History:

A 32-year-old male with a history of palpitation and suspicious of ARVD was admitted to our center for more evaluation.

Here is the patient's  ECG from last night shift.

Question:

As the on-call resident, what's your diagnosis, and what actions would you take?

Case #597-Neda Radfar

History:

A 17-year-old male with no significant past medical history presented with the chief complaint of palpitations. His surface electrocardiogram (ECG) and electrophysiological study (EPS) are illustrated below:

Question:

Choose correct answers about his arrhythmia?  

Case #149-Kaveh Hosseini

History:

33 years old man underwent cardiac surgery 4 days ago. ICU head nurse called me to visit the patient for mild dyspnea. CXR was ordered. 

Question:

What do you think about the baseline pathology? what other abnormality do you see? 

Case #553-Ali Bozorgi

History:

Below you can find the sparkle mapping of a case of unsuccessful CCW flutter ablation.

Question:

what is the wrong statement? 

Case #324-Ali Bozorgi

History:

A 35 years old asymptomatic man was referred for evaluation of ECG, two ECGs are shown, the first one was captured during covid when he was febrile the other is today's ECG.

Question:

What are you going to do?

Case #460-Ali Bozorgi

History:

This ECG is taken during the ablation of case no.459, divided by a blue bar into two segments.

Question:

There are subtle changes in ECG, what is your diagnosis?

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 #342-Ali Bozorgi

History:

A 24-year-old patient with PVC burden of 33%, low LVEF=20%, ECG and echo are shown.

Question:

what is the best strategy for the patient?

Case #7-Ali Bozorgi

History:

A 40 y/o man, with no previous PMH came to ED .He was referred by general practitioner for evaluation of AV block, the patient was asymptomatic and received no drugs.

The ECG was done during routine checkup.

 

Question:

What is your diagnosis and management?

Case #273-Motahare Hatami

History:

A 60 y/o man with a history of PCI on LCX comes to ED complaining of acute chest pain and dizziness.

the ECG is shown:

Question:

what is your diagnosis and proposed treatment strategy?

Case #682-Aghil Zarbini

History:

A 56-year-old man with no known cardiac risk factors presented to our clinic for further evaluation following survival from sudden cardiac arrest (SCA) one week prior at an outside facility. The patient denied any cardiac symptoms, including chest pain or dyspnea. Vital signs were stable at presentation. ECG did not lead to any specific pathology. Echocardiography is shown

Question:

Which statement is false?

Case #368-Ali Bozorgi

History:

A young lady with no structural heart disease underwent EPS for wide complex tachycardia, two EP tracings are shown below:

Question:

What is the diagnosis?

Case #624-Ali Bozorgi

History:

A 42-year-old man with frequent VTach underwent EPS and ablation. Below you can find LV gram before ablation.

Question:

which statement is FALSE: 

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 #603-Ali Bozorgi

History:

A 68-year-old man with a left ventricular ejection fraction (LVEF) of 25%, experiencing frequent premature ventricular contractions (PVCs) at a burden of 45%, and mild coronary artery disease (CAD). The 12-lead ECG is displayed below.

Question:

Which statement is FALSE?

Case #636-Shayan Shahi

History:

A 27-year-old gentleman with a known case of Tetralogy of Fallot with a history of VSD repair, PVR, and dual chamber ICD implantation due to VT 3 years ago came to our clinic with the chief complaint of frequent episodes of shock during the last 2 months.

Below is the analysis of his ICD during one episode of his arrhythmia:

 

Question:

What is the most probable diagnosis?

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 #519-Samane Mohamadi

History:

A beautiful smart young doctor with frequent paroxysmal palpitations, EP tracing is shown below:

Question:

What is the diagnosis?

Case #123-Ali Bozorgi

History:

65 years old lady with complains of dizziness and palpitations and syncope. Three ECG tracings are shown:

Question:

What is the most probable diagnosis?

Case #384-Ali Bozorgi

History:

A middle-aged patient with wide complex tachycardia presented in ER. A rhythm strip and 12 lead ECG are shown below:

Question:

What is your diagnosis?

In Loving Memory of

Dr. Maryam Khoshnevis

MD, Cardiologist

Fellowship of Echocardiography

Faculty member of TUMS

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