This ECG is taken during the ablation of case no.459, divided by a blue bar into two segments.
There are subtle changes in ECG, what is your diagnosis?
A woman in her 60s underwent cryoballoon ablation for AF. Below are 3 consecutive EP tracings during LUPV cryoablation.
What is the best explanation for these tracings?
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
Which statement is false?
A middle-aged man underwent a coronary angiogram, below you can find angiography and concomitant 12 lead ECG:
What is your diagnosis?
An EP tracing of a patient with arrhythmia is shown.
What is the beat encircled?
This EKG was observed in a patient with myocardial infarction,
Which of the following statements about the arrhythmia shown in this EKG, observed in the setting of an acute myocardial infarction, is NOT correct?
A 35 years old man, presented by recurrent palpitations. Below you can see two traces from 24 ECG Holter monitoring and also a trace during Electrophysiology study.
Regarding these traces, which diagnosis is less likely?
A 35 y/o woman came to your clinic complaining of occasional episode of palpitation, At the time of your visit she was asymptomatic but she had a ECG of the time of her palpitation with her.
According to ECG what is your most likely diagnosis?
A middle-aged man with a history of accessory pathway ablation came to our clinic with chief complaint of recurrent palpitations.
(ECG:1-2)
He was scheduled for EP study, and the accessory pathway was successfully ablated.
The day after, he was complaining of pleuritic chest pain.(ECG :3)
Bedside echo revealed mild pericardial effusion.
which statement is not correct?
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
What is the best action towards the patient?
A 70 y/o with history of valve surgery underwent echocardiography.
Which statement is TRUE about the patient?
A 40 y/o man with narrow complex tachycardia. Both ECG and EP tracing are shown.
What is your diagnosis?
A young lady with minimal preexcitation underwent EPS, EP tracings are shown below
What is the possible diagnosis?
A 62 years old man came to ED with palpitations, he was hemodynamically stable, two serial ECG was taken and shown bellow:
Which drug would be the best choice?
A 24-year-old patient with PVC burden of 33%, low LVEF=20%, ECG and echo are shown.
what is the best strategy for the patient?
A 64-year-old woman, known to be hypertensive and on amlodipine, was diagnosed with breast cancer 6 months ago. She completed 6 cycles of chemotherapy, with the last one administered 4 weeks ago, in preparation for radical mastectomy and axillary clearance.
She presents to the cardiology clinic complaining of shortness of breath. On examination, her blood pressure is 105/80 mmHg, pulse is 90 bpm, and regular. Bibasilar crackles were noted on auscultation of her chest.
Her ECG showed non-specific ST changes in the anterior leads.
Based on this clinical presentation and the chest X-ray (CXR) shown below, what is your diagnosis?
A 24-year-old woman complains of pleuritic chest pain since two days ago. The patient's pain is constant and has not decreased. The patient mentions the history of taking bodybuilding supplements and has complained of chronic cough for the past six months.
He did not complain of a recent cold or coryza symptoms.
DH: Negative
FH: Negative
Vital signs: BP:120/80, PR:75, RR:18, T:37℃
Lab findings: WBC:14000(N:70%), Plt:330,000 , CRP:NL, Trop:1200
According to angiography, which finding is incorrect?
70 years old patient with a history of dual chamber pacemaker implantation 5 years ago presented by device malfunction (no pacing), device analysis performed.
Based on the report of programming and chest x-ray which problem is unlikely?
A 54 years old man with a history of STEMI and primary PCI months ago presented with palpitations, Rest ECG and the arrhythmia ECG are shown :
What is the most possible diagnosis?
A 34 y/old women admitted with fever, weakness and malaise from 3 weeks ago and 4 Kg
weight loss from 1 month ago, She had a dental procedure 45 days ago, took Amoxicillin 500 mg TD
BP: 138/112 HR: 91RR: 22 T: 37.6 SaO2: 96%
Mild splenomegaly detected ,WBC:12700 PMN:78% CRP ++ ESR :56
Echocardiography is shown:
What is the most probable diagnosis?
In Loving Memory of
Dr. Maryam Khoshnevis
MD, Cardiologist
Fellowship of Echocardiography
Faculty member of TUMS