Einthovens playground
Potpourri
Holes in heart
My chest hurts
200
Diagnosis?
Anterior STEMI
200
Simpson's Biplane method
200
With interatrial shunt, direction of shunt is determined by
Ventricular compliance
200
A 70/M comes in to ER with chest pain for 4 hours. Serial EKGs and first hs-troponin wnl. NBS in management?
Discharge and follow up outpatient
400
Which vessel is occluded here?
Proxima LAD (wellen's sign)
400
50/M with EF of 40%. How would you classify this EF?
Moderately reduced
400
This conduction abnormality is frequently associated with primum ASD.
Left bundle branch block
400
A 70 year old patient comes in with acute chest pain. Serial EKGs and troponin are wnl. He is intermediate risk on GRACE score. CTA is done which shows a 70% intermediate lesion. NBS?
CT-FFR or stress test with imaging
600
Diagnosis?
Posterior STEMI
600
What type of remodeling is this?
LV mass-120g
PWT-1.5cm
LVID-5cm
Concentric hypertrophy
600
Name these 4 parameters that fulfil the requirement for ASD closure.
Right heart enlargement
PVR <1/3 SVR
PASP <50% systemic
Shunt large enough to cause sequelae (Qp/Qs >/= 1.5:1)
600
A 65/M with h/o PCI 2 years ago comes in with cardiac type chest pain. Serial EKGs and troponin are wnl. He is on aspirin, ticagrelor, metoprolol 25 and nitrogylcerin 0.4mg prn. BP 130/80, HR 70, RR 16 and SPO2 95. NBS for chest pain?
Optimize anti-anginals
800
An 18-year-old Male had an EKG before joining the basketball team. Diagnosis?
Early repolarization
800
Most striking feature here?
Images showing a small (< 10%) fixed perfusion defect at the apex, moderate (10-20%) ischemia in the territory of the LAD, and mild (< 10%) ischemia in the territory of the LCx. Most striking is the presence of TID with a ratio of 1.41.
800
Identify type of ASD
Coronary Sinus ASD
800
20/F with sudden onset chest pain. Cause?
Aortic dissection
1000
Give the full diagnosis
Inferior STEMI with RV infarction
1000
There is a large-sized, moderate-intensity, predominantly reversible perfusion defect involving the anterior wall, apex, and septum
1000
No.1 is ___ASD and No. 5 is ____ASD. 
Superior sinus venosus & primum ASD
1000
Spot diagnosis?
Microvascular dysfunction (MBFR<2)