Rhythm is a dancer (Electrophysiology)
Cath me if you can (Interventional cardiology)
Heart Shaped Box (Echocardiography)
Images Don’t Lie (Imaging)
Under Pressure (Hemodynamics and HF)
100

A 55 yo male with acute onset chest pain presents to the ICCU after being treated with aspirin and heparin. Name the presented rhythm.


Coronary sinus rhythm 

100

55-year-old with dyspnea – what is the diagnosis?


Anomalous LCx origin, from Rt coronary cusp

100

A 27-year-old undergoing a routine echocardiogram before registering at a gym. What is the diagnosis?


Bicuspid AV

100

67 y/o male with effort dyspnea. What is the diagnosis?

Non compaction cardiomyopathy

100

What is the name of the finding?


Pulsus paradoxus

200

A 38 y.o patient with weakness




Vagal mediated AVB

200

A 45-year-old with atrial fibrillation presents with chest pain — what is the preferred treatment?


Thrombus aspiration

200

A 38 y/o presents with shortness of breath. What is the diagnosis?


PDA

200

A 19 y.o patiets with chest pain. what is the  findind in CCTA?

LAD bridging

200

Name a specific treatment for this condition.


Cardiac myosin inhibitors (e.g., mavacamten)

300

60 y/o patient with palpitations. what is the treatment?

Verapamil (LT fascicular VT)

300

A young adult presents with chest pain — what is the underlying pathology


Coronary aneurysms with critical stenoses (consistent with prior Kawasaki disease)

300

A 26 y/o man with hypertension is referred for echocardiographic evaluation. Diagnosis?

Coarctation of the aorta

300

A 35-year-old woman undergoes CMR after a thromboembolic event. What is the diagnosis and expected laboratory finding?

Loeffler Endocarditis with apical thrombus
 ECG- T-wave inversions. Laboratory- Eosenophilia 

300

72- yo female is evaluated for volume overload and shortness of breath. What is the diagnosis?

CONSTRICTIVE PERICARDITIS
SYSDOLIC DYSCORDANCE

400

25 YO patient presents for pre-employment physical exam. What is the diagnosis?

ECG is concerning for ARVC. 

CMR: RV dilation, RV WMA, Fibrofatty infiltration of the myocardium, focal/patchy LGE in RV.

400

A patient presents with chest pain — what is the angiographic finding


Coronary artery fistula from the LAD to the pulmonary artery

400

A 35-year-old man presents with acute dyspnea. Echocardiography is shown. What is the diagnosis?


Sinus of Valsalva Aneurysm

400

A 68 y/o patient presents with 4-day history of retrosternal chest pain radiation to the jaw?

Extensive anterior/apical infarction with transmural scar and large apical MVO, consistent with severe LAD STEMI.

400

In PARADISE-MI, what was the principal finding of the study?


ARNI did not demonstrate significant superiority over ramipril in reducing cardiovascular death or heart failure events after acute myocardial infarction.

500

What is the diagnosis?

Left lateral accessory pathway

500

A patient undergoes imaging for chest symptoms — what is the diagnosis?


Situs inversus

500

A 45-year-old man is referred for evaluation of progressive dyspnea. Diagnosis?

Constrictive pericarditis

500

A 19 yo man with exercise intolerance, findings?

Bicuspid stenotic Pulmonic Valve with huge pulmonary artery


500

Aortic pressure recording. What is the diagnosis of the patient?

HOCM 

1000

A patient presented after receiving a shock from a single-chamber ICD that had been implanted one week earlier. What is your diagnosis?


Dislodgement of the lead into the right atrium, resulting in double counting and consequent detection of a high ventricular rate within the VT zone, leading to an inappropriate ICD shock.

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