Congenitally yours
Randoms
insane rhythms
Heart of all problems
is it EP?
100
What is the most common congenital heart disease abnormality in patients with trisomy 21?
What is endocardial cushion defects or AV canal defects
100
This diagnosis rarely lead to ischemia in stress testing
( video 1)
What is myocardial bridge.
100
The Rhythm on this ECG is
what is complete heart block
100
The diagnosis suggested by this chest xray in patient with heart failure
What is constrictive pericarditis
100
Ivabradine is FDA approved for this population of patients
what is heart failure, sinus rhythm, resting heart rate >70 on maximum tolerated BB
200
A 19 year old white man present to the clinic with abnormal ECG concerning for pre-excitation due to the right paraseptal accessory pathway
on exam , he has pansystolic murmur that increases on insipiration
his prior cardiologist told him to blame his mother for this as she might have taken this medication
What is lithium
results from registry based data showed that risk of ebstein anamoly increase by 400 fold in infants exposed to lithium
200
The diagnosis seen on this video clip in patient with heart failure is
What is LV non compaction
200
23 Year old white lady with POTS and inappropriate sinus tachycardia is resistant to all lifestyle and behavioral changes, you initiate pharmacotherapy with ivabradine 5 mg BID, the mechanism of action of this medication is
What is inhibition of funny sodium channel
200
The most likely diagnosis of this patient with wide fixed splitting of S2 ( be sepcific)
What is ostium primum ASD
200
The specific finding shown on this ECG is
What is atrial echo beats
300
In uncorrected congenital heart disease, there is normal oximetry in fingers with cyanosed toes and an absen cardiac murmur
What is PDA with esenmenherization
300
The indication to operate on aortic aneurysms in patients with Loets-Dietz syndrome is
What is >= 4.2 cm by TEE or 4.4cm-4.6 by CT and MR
300
what is this condition and its likely cause in this 73 year old man with prior history of ischemic cardiomyopathy diagnosed 15 years ago s/p ICD
What is Argyria?
( blue man syndrome from amiodarone)
- significant bluish discoloration which improves after stopping amio
300
What is the cause of dyspnea on this patient
What is cor triatum.
300
The most likely diagnosis in this 39 year old an with syncope
What is brugada syndrome
400
In patients with surgically repaired TOF, this ECG finding is a marker of sudden cardiac death.
What is QRS duration more than 180 msec.
400
a 65 year old active and asymptomatic woman was found to have severe AS.
pre 2020 ACC/AHA guidelines, intervention is recommended for asymptomatic severe AS with very severe AS ( Vmax >5, decrease exercise tolerance, progression of Vmax >0.3 m/s per year, exercise associated decrease in SBP> mmHg or serum BNP more than ----
>10 mmHg or serum BNP more 3 times normal
400
The channelopathy associated with this ECG Is
What is Andersen Tawil syndrome, Type 7 Long QT syndrome
400
The specific diagnosis is the cause of hypotension in this patient
What is pneumopericardium
400
The AV block seen on this tracing is
what is complete heart block?
( there are PVC)