Case #90-Ali Bozorgi

History:

A 61 y/o man with history of CABG, referred to Emergency Department with palpitation.

LVEF=15%

Arrhythmia ECG and baseline ECG are shown. 

Question:

What is the most likely diagnosis?

History:

A 51-year-old diabetic woman presented with a complaint of chest pain.Based on the ECG coronary angiogram performed.

 

 

 

Question:

Based on the ECG and Coronary angiogram,what is the next step?

Case #588-Shayan Shahi

History:

Analysis of the Case 587 is shown below:

device mode: DDD

upper tracking rate: 130/min

mode switch: on  if Atrial rate > 180  ----> mode switch to DDI ( Base Rate: 80/min )

Atrial and ventricular lead sensitivity and threshold and impedances were normal.

Question:

Knowing analysis, what is happening and what is the most probable diagnosis?

History:

50 Y/O female presented to hospital complaining about recent exertional chest pain and episodes of syncope which mostly happened at the time of doing home laundry.

 

 

Question:

According to this aortography, Which one is the most probable cause of syncope in this patient?

Case #81-Ali Bozorgi

History:

A 66-year-old woman presented to our emergency department with acute onset of chest pain and dyspnea that had started 6 h earlier.  BP = 120/70 mm Hg, HR=113 beats/min, RR 26/min.  O2 saturation 92% in room air. She had a coronary angiography the day before arrival. Twelve lead ECG and Right-sided ECG and Angiography shots of RCA are shown.

Question:

What is the most likely diagnosis?

Case #556-Ali Bozorgi

History:

 A middle-aged patient came for Device analysis, below you can find the screenshot of analysis.

Question:

Which statement is NOT true?

Case #375-Ali Bozorgi

History:

A middle-aged patient underwent EPS and Ablation for incessant arrhythmia, below you can find 12 lead ECG and EP tracings of the patient.

Question:

What is the most probable arrhythmia? 

Case #341-Ali Bozorgi

History:

A 42-year-old patient, with palpitations, ECG of both arrhythmia and resting are shown

Question:

Regarding ECG what is the most probable cause of arrhythmia?

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 #215-Motahare Hatami

History:

A 60y/o man with a history of coronary artery disease and heart failure with EF=15% came to ED complaining of palpitation.ECG of tachyarrhythmia and previous ECG in sinus rhythm are shown:

Question:

What is your most likely diagnosis?

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 #698-Samane Sardari

History:

A 51-year-old man with no known coronary risk factors presented to the emergency department (ED) with a four-day history of chest pain.

Question:

Based on the patient’s ECG findings, which of the following is the most appropriate next step?

Case #648-Shayan Shahi

History:

A 43-year-old  gentleman with a known case of Apical HCM underwent 48-h ECG holter monitoring for SCD risk stratification.

Below is one shot from his ECG Holter Monitoring :

Question:

Which one is the best next step?

Case #109-Kaveh Hosseini

History:

35 years old man came to the clinic with atypical chest pain. Echocardiography was performed. 

Question:

Which statement is TRUE about this patient? 

History:

A 40-year-old woman complained of heart palpitations;

Question:

Based on echocardiography, which option is wrong?

History:

You are visiting a patient in clinic, He recently underwent PCI for OM in another center & he complaining of at rest episode of chest pain, angiography was shown:

Question:

According to the angiography, which one is not a good choice for treatment of his chest pain?

Case #373-Ali Bozorgi

History:

An angiogram of the right coronary artery is shown with concomitant 12 lead ECG.

Question:

What happened and why? 

History:

A 57 y/old woman was admitted with chest pain, dizziness, and DOE FC2 from one day ago 

PMH: NEG., DH: covid vaccination 3 weeks ago

Bp:130/70  PR :78  RR :18 T:37 Sat:97%

Echocardiography:  EF:55% ,mild MR. Mild to mod TR. TRG 26 PAP:31 no RWMA. NO  LV clot

Lab data: cr:1.1 _LDL:157 _CRP :3.6 WBC:11500 _PMN:78%  Trop: neg

He was referred to the cath lab for coronary angiography.

Angiogram is shown

 

Question:

Which diagnosis is most appropriate for this patient?

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 #55-Ali Bozorgi

History:

A 60 y/o lady came to ED with dizziness and pre-syncope. She had history of CABG+MVR+TV reapir. 

Two sets of ECG shown

Question:

What is the best treatment?

In Loving Memory of

Dr. Maryam Khoshnevis

MD, Cardiologist

Fellowship of Echocardiography

Faculty member of TUMS

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