Iran Specialty Board - Cardiology case studies
Iran Specialty Board - Cardiology · Put your knowledge to work in context.
The Iran Specialty Board Examination in Cardiology (برد تخصصی قلب و عروق) is the national summative assessment that internal medicine graduates must pass to be recognised as cardiology specialists in the Islamic Republic of Iran. It is administered under the authority of the Ministry of Health and Medical Education, and successful candidates proceed to independent specialist practice and to subspecialty fellowships such as interventional cardiology and electrophysiology. The Iran Specialty Board - Cardiology case studies are 5 cases and about 4,222 words.
1Hypotension After Inferior STEMI: Right Ventricular Infarction and the Reperfusion Clock
A 58-year-old man with a 25-pack-year smoking history presents 90 minutes after sudden severe retrosternal chest pain, nausea and diaphoresis. He is pale and drowsy.
868 words, about 4 min2Sequencing Quadruple Therapy in HFrEF with CKD and Hyperkalaemia
A 71-year-old woman with ischaemic cardiomyopathy (LVEF 27% on echocardiography 4 months ago) is admitted with NYHA class III dyspnoea. She has permanent atrial fibrillation with a resting ventricular rate of 78/min, type 2 diabetes, hypertension and stable stage 3b chronic kidney disease (eGFR 34 mL/min/1.73 m²).
869 words, about 4 min3Low-Flow, Low-Gradient Aortic Stenosis: True Severe or Pseudosevere?
A 68-year-old retired teacher has progressive exertional dyspnoea (NYHA III) and one episode of exertional syncope. He has a bicuspid aortic valve diagnosed 15 years ago and mild hypertension.
881 words, about 4 min4Pre-Excited Atrial Fibrillation: What Not to Give
A 26-year-old man is brought to the emergency department after 40 minutes of rapid palpitations, presyncope and chest discomfort. He has had two similar but briefer episodes in the past year and one episode of syncope while playing football.
803 words, about 4 min5Resistant Hypertension with Hypokalaemia: Interpreting the Aldosterone–Renin Ratio
A 52-year-old woman has persistent hypertension despite a verified three-drug regimen: amlodipine 10 mg, losartan 100 mg and chlorthalidone 25 mg daily. Home readings average 158/96 mmHg, and 24-hour ambulatory monitoring confirms a mean of 152/94 mmHg with loss of nocturnal dipping and no white-coat effect.
801 words, about 4 min