A 37 y/o man came to ED complaining of palpitation which started 3 days ago.

his initial vital sign: BP=110/70   HR=160 beats/min  O2sat=97%

the ECG is shown:

What is the best treatment strategy in our patient?

A 60 y/o man underwent EP study and concomitant coronary angiography, During CAG severe sudden chest pain developed, 12 lead ECG was recording for EP study which is shown.

What is the best explanation for his chest pain?

A 32-year-old lady,  known case of ACM (Arrhythmogenic Cardiomyopathy) with palpitations and frequent ICD shock, referred for VT ablation.

The surface ECGs (sinus rhythm & arrhythmia) and Cardiac MRI are shown below.

 Which of the following findings is not major criterion based on 2024 European Task Force consensus report?

Below, you can find the EP tracing of a middle-aged patient with palpitations.

Which statement is NOT correct?

The patient in case 379, underwent EPS, the epicardial approach was needed.

Based on ECG and Precision mapping images, why we had to perform a subxiphoid epicardial approach?

Below you can find EP tracings of AF cryo-ablation of a young lady with paroxysmal AFib.

Which statement is WRONG about these tracings?

A 52-year-old woman with episodes of syncope underwent a Brugada challenge test, in which she was given 400 mg of oral flecainide. The results of the test are shown below.

What statement is wrong?

27 years old girl underwent EPS for palpitation. An EP tracing during EPS is shown.

Which statement is TRUE about this tracing?

This ventriculogram + aortogram belongs to a 36 Y/O  lady with recent shortness of breath and worsening dyspnea of exertion.

Which statement goes true for this patient?

35 years old man with recurrent palpitations, underwent EPS. Two tracings are shown below.

What is the most likely diagnosis?

An ECG of an elderly man with fever is provided below.

Seeking the optimal explanation for this ECG. What's your take?

A patient came to the Emergency department with dizziness, she was implanted with a dual-chamber pacemaker a year ago. Below you can find the ECG of the patient and Chest X-Rays of the implantation date and a new one.

Which statement is NOT correct?

A 35 y/o man is candidated for ETT for evaluation of his chest pain. His baseline ECG  before ETT was shown:

What is the Rhythm?

A 62-year-old man with frequent palpitations. ECG and EP tracing are shown below.

Which diagnosis is not possible?

A 39-year-old man was brought to the emergency department by ambulance with presentation of sudden and complete LOC.

Basic life support was perform before arrival at the hospital. Cardiac monitoring showed ventricular fibrilation and patient recieved defibrilation then pulse became detectable. The first ECG which was taken 3minutes after DC shock is shown below.

Which of the statments presented here is true about this patient?

A young man with frequent PVC. Below are 3 signals from RVOT, Distal CS, and RCC. 

Which signal do you think is the success signal?

A young lady with minimal preexcitation underwent EPS, EP tracings are shown below

What is the possible diagnosis?

A 46 years old lady referred for evaluation of wide complex tachycardia.

Both ECG in Arrhythmia and sinus rhythm are given:

What is your most probable diagnosis?

A 52 y/o lady with recent dual chamber pacemaker implantation presented by dizziness.

ECG and Chest XRay are shown.

PPM analysis showed Normal RA and RV impedance, Normal Atrial lead sense and pacing, no RV capture.

What is the etiology of device malfunction?

A 46 y/o male patent came in to clinic for outpatient follow up , 5 years ago he underwent cardiac surgery.

Bellow you can find his echocardiogram.

What was his cardiac surgery ?