A busy day at emergency department! 4 patient with history of prosthetic valve surgery  come to ED complaining of dyspnea. Fluoroscopies were shown:

Which statement is TRUE about these patients?

Below are the electrophysiological (EP) tracings of a 42-year-old patient presenting with the primary complaint of palpitations:

Which statement is FALSE?

A 60 years old man, Hx of Hypertrophic Cardiomyopathy, Mild CAD presented by recurrent palpitations converted to sinus rhythm with adenosine but reinitiate again. ECG is shown.

Which diagnosis would be most probable?

A 70-year-old woman with a history of PPM implantation due to CHB one month ago came to our ED with the chief complaint of pleuritic chest pain. ( Mode: DDD, Base Rate: 60)

Her ECG and CXR are shown below :

According to her ECG and CXR, which statement is not true?

A 53 years old lady underwent cryoballoon AF ablation for paroxysmal A Fib. Two tracings during cryo are shown.

What is your interpretation ?

A 72-year-old man with a known history of Parkinson’s disease presented to our ED with a chief complaint of palpitations. Below is the intracardiac EGM from his EP study.

What is the diagnosis, and what is the most likely mechanism behind the variation in Tachycardia Cycle Length (TCL)?

A 50 y/o came to ED complaining of episodes of palpitation, his past medical history is otherwise unremarkable.

what is your most likely diagnosis for the patient?

A 55 years old man underwent eventful CABG 2 days ago. His post op BP was low and needed inotrope and mechanical support. He complained from abdominal pain and dyspnea. Post-op CXR is as follows

What is most important abnormality in CXR? 

A 40-year-old woman complained of heart palpitations;

Based on echocardiography, which option is wrong?

A 65 years old lady with history of previous (3 years ago) cryoballoon for AFib, referred for recurrence of AF rhythm. She was candidated for RF ablation by Precision 3D mapping showed below:

According to 3D mapping, which option could be the etiology of AF recurrence?

33 years old man underwent cardiac surgery 4 days ago. ICU head nurse called me to visit the patient for mild dyspnea. CXR was ordered. 

What do you think about the baseline pathology? what other abnormality do you see? 

A middle-aged patient with history of AVR, symptomatic PVC (30%) unresponsive to beta-blockers and Sotalol. ECG is shown: 

What is your plan? 

A 32-year-old male with a history of palpitation and suspicious of ARVD was admitted to our center for more evaluation.

Here is the patient's  ECG from last night shift.

As the on-call resident, what's your diagnosis, and what actions would you take?

A 52 y/o lady was admitted to hospital 3 days ago. She received thrombolytic 3 days ago based on initial diagnosis of inferior STEMI .After 3 days, chest pain recurred again, and you called for evaluation of the chest pain.

ECG of day 1,2 & 3 are shown:

Based on most likely diagnosis, What is your recommendation?

A 30 y/o lady referred to our hospital with chief compliant of dyspnea FCII . According to trans thoracic echocardiography, she was candidate for device closure. The procedure is shown:

What is the procedure?

A middle-aged patient with palpitation underwent EPS. EP tracings are shown:

According to EP Tracings, what is the diagnosis?

A 54 years old man with a history of STEMI and primary PCI months ago presented with palpitations, Rest ECG and the arrhythmia ECG are shown : 

What is the most possible diagnosis?

A 59-year-old male was admitted to our emergency department with general weakness. He had been a heavy smoker (45 packs per year); however, he denied any past medical conditions and taking medication. On examination at first hospitalization, he was afebrile with respiratory rate, and blood pressure of 16 breaths/Min and 125/74 mmHg, respectively. He has a widespread wheeze of auscultation of the chest. 

What is the best next plan?

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

Which statement is TRUE about this tracing?

92 y/o frail man presented with unexplained syncope when sitting and also in supine position. LVEF=50%

ECG is shown.

What is your plan for the patient?