44-year-old man, with no symptoms, but two siblings experienced sudden cardiac death. ECG is shown below. He had normal electrolyte levels and no apparent heart disease.

What option is NOT present in his ECG?

A 66 y/o man underwent coronary angiography for evaluation of patients dyspnea.

which statement is true about our patient?

A 35-year-old man was referred for an electrophysiology study due to multiple episodes of PSVTs. During EPS arrhythmia was easily induced, which you can find below as tracing A. After localizing the best signal, with RF application the retrograde activation of arrhythmia changed (tracing B).

According to tracing A and B, which statement is correct?

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

What is your interpretation ?

A 71 year old patient with LVEF=35%, NECA, presented with this arrhythmia:

What is the arrhythmia?

50 y/o man underwent echocardiography for evaluation of orthopnea .

Trans-thoracic Echocardiography is shown.

which one is NOT seen in this echocardiography?

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

What is the most likely diagnosis?

A middle-aged patient with a history of atrial septal defect (ASD) repair underwent an electrophysiology study (EPS) with Precision. Below, you can find the propagation and sparkle map.

What is the most probable mechanism of arrhythmia? 

54 years old woman was referred for electrophysiology study, due to multiple episodes of sudden palpitations. The arrhythmia was induced via atrial burst pacing.

Below you can find tracings of arrhythmia.

Which diagnosis is least possible?

A 79-year-old man with palpitation underwent EPS, below you can find EP tracing.

What is your diagnosis base on EP tracing:

A 68 years old lady, with history of single chamber implantation years ago, underwent CABG. Post-op ECG is shown.

What is your diagnosis? What is your next plan?

A 54-year-old male diabetic patient presents to the emergency department with complaints of atypical chest pain. The electrocardiogram (ECG) is presented below for analysis. 

 What is the most appropriate course of action in this clinical scenario?

A 17-year-old girl with palpitations underwent EPS, Two tracings of basic ECG and arrhythmia are shown.

What is the etiology of arrhythmia?

A female patient aged 53 years, with a medical history of aortic valve replacement (AVR), mitral valve replacement (MVR), and tricuspid valve repair (TVr) five years ago, presented at the medical facility without any symptoms but with a prolonged withdrawal from warfarin for several months. The patient was admitted, and heparin therapy was initiated along with a transthoracic Doppler echocardiography (TDI TTE) examination and fluoroscopy. 

Based on the results obtained from the TDI TTE and flouroscopy what do you consider the most appropriate course of action?

54 years old lady with history of dual chamber pacemaker implantation presented by dizziness and syncope.

look at ECG, Chest Xray , and device programming:

According to findings what is the best explanation for device malfunction?

A 65 years old man underwent a procedure,  ECG before and after the procedure are given:

Regarding ECG before and after, guess what procedure done for the patient.

A 38 years old woman with history of valve replacement surgery (7 months ago) came to ER with DOE FC II from 3 weeks ago. Admission INR was 2.4.

She underwent fluoroscopy to evaluate the valve function. 

Her vital signs were unremarkable. 

What is the diagnosis and more suitable treatment strategy? 

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

which statement is TRUE?

A 58 y/o woman with history of seizures and pulmonary hypertension is admitted to the CCU with chief complaint of shortness of breath, palpitation, and worsening dyspnea on exertion. Also, she endorsed one episode of syncope. Right heart catheterization showed MPAP of 64 mmHg. In laboratory findings, NT-pro-BNP was 1,240 ng/mL. She was receiving carbamazepine 200 mg BID (for 15 years), amlodipine 10 mg daily, and macitentan 10 mg daily (for 6 months) at the time of admission.

What is your suggestion for the pharmacotherapy of PAH in this patient?

A 62 years old lady with history of previous flutter ablation, she was candidate for Precision 3D mapping RF ablation, EPS and ablation is shown below:

Which statement is False about the procedure?