Case #524-Ali Bozorgi

History:

A middle-aged patient with a history of ICD implantation complained about palpation. The ICD tracing is shown:

Question:

which statement is WRONG?

History:

30 y/o female patient underwent catheterization.

two shots of her catheterization were shown:

Question:

What is the patient diagnosis?

Case #500-Ali Bozorgi

History:

An EP tracing of a patient with AVNRT is shown below:

Question:

What is your interpretation for the beat mentioned? 

Case #715-Samane Sardari

History:

A 93‑year‑old woman presents to the emergency department with sudden‑onset palpitations two months after pacemaker implantation. Her vital signs are stable. Twelve‑lead ECG is shown below:

Question:

According to provided data, which of the following is the most appropriate intervention to prevent recurrence of this tachycardia?

Case #331-Ali Bozorgi

History:

An old man with palpitations, ECG, and EP tracing are shown.

Question:

Based on EP Tracing what is the most probable diagnosis?

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 #522-Ali Bozorgi

History:

A middle-aged man with frequent PVC, LVEF=35%,  and previous unsuccessful ablation in another center underwent RF ablation with the guide of Precision.

Question:

Where is the source of origin of PVC?

Case #593-Ali Bozorgi

History:

A 75-year-old woman with a medical history of diabetes and hypertension, and a dual-chamber pacemaker, attended a follow-up appointment. Enclosed are ECG Holter tracings, a 12-lead ECG, and the device analysis for the patient.

Question:

Which statement is TRUE?

Case #667-Samane Mohamadi

History:

A middle-aged woman with a history of migraine headaches presented to the emergency department with a primary complaint of syncope and severe headaches on the day of admission. Her medication history includes sumatriptan and methadone, both of which she had increased in dosage due to exacerbation of her headaches. 

Here are the ECGs

Question:

What is the best action towards the patient?

Case #106-Ali Bozorgi

History:

55 years old lady underwent EPS for recurrent palpitations.

Two EP tracing is shown.

Question:

Which diagnosis is unlikely?

Case #148-Yaser Jenab

History:

A 30 y/o lady referred to our hospital with chief compliant of dyspnea FCII . According to trans thoracic echocardiography, she was candidate for device closure. The procedure is shown:

Question:

What is the procedure?

Case #469-Ali Bozorgi

History:

A middle-aged lady with a history of MVR and LVEF=25%, presented with frequent ICD firing, was candidated for eps ablation with Precision guide. 

Question:

which statement is TRUE?

Case #604-Ali Bozorgi

History:

A 49-year-old physician experiencing frequent palpitations and having undergone an unsuccessful ablation in another hospital. The arrhythmia tracing, programmed RV stimulation, and LV pacing are provided below.

Question:

Which statement is TRUE?

Case #162-Ali Bozorgi

History:

A 65 years old man admitted for frequent ICD shock, one episode of tracing shown below (movie)

Question:

What is the best explanation for the shock?

Case #622-Ali Bozorgi

History:

A 28-year-old female with frequent PVCs and LVEF of 50% underwent EPS, with the best signal detected in the GCV. A simultaneous CAG was performed.

Question:

What is the reasonable approach?

History:

65 y/o man is evaluated for chest pain. He had a history of CABG. Angiography is shown:

Question:

Which statement is TRUE about the patient?

Case #186-Motahare Hatami

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?

Case #523-Ali Bozorgi

History:

A 45 years old electrician with a history of ICD implantation, experienced ICD shock. Below you can find plot diagram and EGM of the event. 

Question:

which statement is WRONG?

Case #183-Ali Bozorgi

History:

A 65 years old lady with history of previous (3 years ago) cryoballoon for AFib, referred for recurrence of AF rhythm. She was candidated for RF ablation by Precision 3D mapping showed below:

Question:

According to 3D mapping, which option could be the etiology of AF recurrence?

Case #119-Motahare Hatami

History:

17 y/o girl underwent catheterization for evaluation of congenital heart disease. Catheterization is shown:

Question:

Which one of the following congenital anomaly could NOT explain this catheterization course?

In Loving Memory of

Dr. Maryam Khoshnevis

MD, Cardiologist

Fellowship of Echocardiography

Faculty member of TUMS

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