A 56-year-old male came to ER with palpitation since 1 hour ago.

Below you can find the arrival ECG.

Vital sign:Bp:126/75-PR:180_190

What is the suitable action?

A 38-year-old woman with recurrent premature ventricular contractions (PVC), a low left ventricular ejection fraction (LVEF), and a history of unsuccessful radiofrequency ablation (RFA) at another hospital underwent an electrophysiology study (EPS).

Where is the ablation catheter positioned? What are the potential complications?

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

What is the possible diagnosis?

A 42-year-old male presented to the ED with a chief complaint of brief loss of consciousness earlier this morning. He had no history of cardiovascular disease. The initial ECG is shown below. While monitoring the patient, the resident observed an episode of tachyarrhythmia, and a second ECG was taken.

What is the most appropriate course of action for this patient?

An 20-year-old woman experienced syncope at home and was transported to the hospital by EMS. Upon arrival in the ER, her GCS score was 10, and the emergency physician noted pupil dilation in both eyes. Her medical history revealed no cardiac problems, either personal or familial. The only significant finding in her history was the use of oral contraceptive pills (OCP). This is her ECG. 

What is the next step?

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?

A 31 y/o lady underwent Echocardiography for evaluation of systolic murmur with fixed S2 splitting. Echocardiography is shown:

What is your most likely diagnosis?

50 Y/O female presented to hospital complaining about recent exertional chest pain and episodes of syncope which mostly happened at the time of doing home laundry.

According to this aortography, Which one is the most probable cause of syncope in this patient?

A 35 y/o man with a history of BAV was admitted to the hospital. He was complaining of retrosternal chest pain, due to clinical suspicion for aortic dissection D-dimer test was checked and was positive.

CT angiography is shown:

the arrow points to....?

A 56-year-old man with palpitations and manifest preexcitation on surface ECG, referred for ablation.
ECGs  before and after full preexcitation are shown.

Where is the most likely location of the accessory pathway? 

A middle-aged man with a history of accessory pathway ablation came to our clinic with chief complaint of recurrent palpitations.
(ECG:1-2)
He was scheduled for EP study, and the accessory pathway was successfully ablated.
The day after, he was complaining of pleuritic chest pain.(ECG :3)

Bedside echo revealed mild pericardial effusion.

which statement is not correct?

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 57-year-old gentleman with a history of NICMP ( EF:20%) underwent ICD implantation three years ago due to episodes of VT and came to our ED with a chief complaint of multiple episodes of ICD Shock.

Below are four shots of his arrhythmia episode:

What is the diagnosis?

A 30 y/o man underwent catheterization for evaluation of congenital heart disease.

One shot of catheterization is shown:

Can you guess the catheterization course?

A 56-year-old male was referred for an arrhythmia. Here you can find the 24h ECG Holter.

The patient had no complaint of palpitation.

What is the best diagnosis?

A 57-year-old man is transferred by EMS during the night with persistent chest pain since the afternoon to the emergency department of a non–PCI-capable hospital, located 3 hours away from the nearest PCI center.

Past Medical History:

• Diabetes mellitus (DM)

• Hypertension (HTN)

• Hyperlipidemia (HLP)

• Cigarette smoker (CS)

• Opium addict (OA)

• Previous intracranial hemorrhage (ICH)

Assessment on Arrival:

• Vital signs: HR 90 bpm, BP 85/55 mmHg

Based on the patient’s condition, what is the most appropriate next step in management?

This series of chest radiographs was obtained from a patient during a follow-up visit for the routine analysis of her implanted device.

Which of the following statements is incorrect based on the provided chest X-rays?

Below you can find the movie of 3D mapping of atrial flutter performed with Ensite Precision. 

Which statement is NOT correct?

Analysis was conducted on a middle-aged patient who experienced an ICD shock; the corresponding tracing is provided below:

Which statement is wrong?

A young boy underwent EPS for palpitations.EP trace of Ventricular pacing is shown below:

which statement is TRUE?