A 83 years old man (case #100) is presented with pacemaker malfunction.

Reports of PPM analysis are shown.

Based on programming results which diagnosis is unlikely?

A 52-year-old man with a past medical history of hypertension presents with dyspnea. Myocardial perfusion imaging demonstrates reversible ischemia in the anterior wall territory. Elective coronary angiography sequence is displayed below.

Based on the most likely diagnosis, which of the following options is incorrect?

A 68-year-old woman with history of diabetes mellitus, peripheral arterial disease, and breast cancer is referred to your outpatient clinic for decision regarding antithrombotic agents. In laboratory findings, creatinine and platelet count were 0.9 mg/dL and 88,000 × 10⁹/L, respectively.

She was receiving Aspirin 80 mg daily, Rivaroxaban 2.5 mg BD, Pantoprazole 40 mg daily, Atorvastatin 40 mg BD, and Empagliflozin/Linagliptin 10/5 mg daily. Her chemotherapy regimen was Docetaxel + Carboplatin + Trastuzumab.

Which is your preferred antithrombotic regimen?

 A 52-year-old gentleman reffered for EP study, due to episodic palpitations and wide complex tachycardia requiring cardioversion in ER.

During EPS, the HV interval was  90 msec, and arrhythmia was induced with burst pacing.

Below you can find 12-lead ECG (during tachycardia, sinus rhythm ) and EP tracings.

What is the most probable diagnosis? 

A 60 years old male with pmh of CRT-D implantation last year,presented with this ECG. he had episodes of dizziness.
the ECG and CXR are shown below.

Which statement is correct?

A 68-year-old man with a left ventricular ejection fraction (LVEF) of 25%, experiencing frequent premature ventricular contractions (PVCs) at a burden of 45%, and mild coronary artery disease (CAD). The 12-lead ECG is displayed below.

Which statement is FALSE?

Based on the ECG, how many major ACM criteria are met in total?

A 35 y/o lady underwent echocardiography for evaluation of palpitation & Dyspnea on exertion.

What is the most likely diagnosis?

A young lady with palpitations, surface ECG showed preexcitation. 

Where is the location of the accessory pathway?

A 39-year-old man with history of DCM and reduced LVEF (25%), presented with palpitations and frequent PVC on surface ECG and Holter monitoring (PVC Burden: 40%), referred for ablation. EPS was done by 3D NAVX/Precision mapping guide. Initially, Based on surface ECG which was compatible with LV summit origin, mapping was started within CS, the best earliest signal was found in GCV (-42ms). RF applied on aforementioned area, but PVCs did not disappear. So, mapping was done via retrograde trans-aortic approach. After maintaining safe distance from LM,LCX and LAD by coronary angiography and considering correspondent point from epicardial mapping, the best earliest point was found around ILT area (-44ms). RF applied on aforementioned area and PVCs disappeared immediately.

Four fluoroscopic views and surface ECG are shown.

Which of the fluoroscopic views is in favor of catheter ablation position in the ILT (Inter Leaflet Triangle)?

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?

A middle-aged man with frequent PVC and Low LVEF, below you can find EP tracing during PVCs and also ablation.

What statement is wrong?

A 35 years old asymptomatic man was referred for evaluation of ECG, two ECGs are shown, the first one was captured during covid when he was febrile the other is today's ECG.

What are you going to do?

A young woman with an antrospetal accessory pathway (AP) underwent an electrophysiology study (EPS) and ablation. Following the procedure, adenosine was administered to confirm the elimination of the AP pathway. The tracing below was recorded during the adenosine injection

Which statement is NOT correct about this tracing:

35 y/o woman with history of previous valvular surgery, underwent Echocardiography for routine checkup.

Which statement is TRUE about patient?

You are on an on-call duty, emergency department nurse sent you the following ECG.

What is your next appropriate step in management of the patient?

35 y/o man with Ebstein anomaly. ECG tracing is shown.

What is TRUE statement regarding 12 lead ECG :

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 57 y/old woman was admitted with chest pain, dizziness, and DOE FC2 from one day ago 

PMH: NEG., DH: covid vaccination 3 weeks ago

Bp:130/70  PR :78  RR :18 T:37 Sat:97%

Echocardiography:  EF:55% ,mild MR. Mild to mod TR. TRG 26 PAP:31 no RWMA. NO  LV clot

Lab data: cr:1.1 _LDL:157 _CRP :3.6 WBC:11500 _PMN:78%  Trop: neg

He was referred to the cath lab for coronary angiography.

Angiogram is shown

Which diagnosis is most appropriate for this patient?

A 34 y/o man came to ED complaining of retrosternal chest pain  which was started 2 hours ago & lasted one hour .He was mentioned an episode of heavy weight lifting the day before. He had no known coronary artery disease risk factor in his past medical history.

two sets of troponin was sent:

1st hs-cTnT=80 ng/L(upper limit<24 ng/l)

2nd hs-cTnT=84 ng/L(upper limit<24 ng/l)

so he was undergone coronary angiography with diagnosis of NSTEMI

what is your most likely diagnosis for this patient?