35 y/o man underwent echocardiography for evaluation of nocturnal chest pain. Echocardiography is shown:

Based on the echocardiography, which one is NOT seen in this patient?

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 52-year-old lady with frequent palpitations, below you can find the ECG and EP tracing.

What is the most likely diagnosis?

A 49-year-old woman with a history of chronic myeloid leukemia presents to the emergency department with progressive positional chest pain and dyspnea for one week.

Examination findings:

• Blood pressure: 140/90 mmHg

• Heart rate: 120 bpm

• Jugular venous distension present

• Marked pulsus paradoxus is noted

Which of the following is the most appropriate next step in management?

A 67 years old male with hx of CABG 10 years ago and PTE last year (since then he is on anticoagulant therapy), presented to ER complaining of ACP. ECG is shown below;

What is the next step?

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?

A 42-year-old man experiencing frequent palpitations underwent an electrophysiology study (EPS); presented below are two tracings from the study.

Considering the electrophysiology tracing, which arrhythmia is more likely?

An 83-year-old man underwent recent primary percutaneous coronary intervention (PCI) for the right coronary artery (RCA). Two ECGs in two consecutive days are presented below.

Which statement is TRUE?

A 61-y/o patient with a history of atrial fibrillation and 3VD is candidated for CABG. He was receiving rivaroxaban 20 mg daily at the time of admission.

What is your suggestion for perioperative management of his antithrombotic regimen?

A 12-year-old girl underwent an EPS procedure due to congenital heart disease.
RV gram is shown: 

What is the wrong statement?

An 80 year old asymptomatic lady came with below ECG:

What is your diagnosis?

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 young lady underwent EPS for palpitation, during ventricular pacing this arrhythmia happened.

What happened?

A 51-year-old man with no known coronary risk factors presented to the emergency department (ED) with a four-day history of chest pain.

Based on the patient’s ECG findings, which of the following is the most appropriate next step?

A 32 years patient with recurrent palpitations underwent EPS and ablation. ECG and EP tracings are shown:

Which statement is TRUE?

A 19-year-old patient was referred for an arrhythmia accompanied by traumatic syncope. The rest and arrhythmia ECG are shown:

What are the diagnosis and best choice of treatment?

23 year-old male with a “variable pulse rate" .ECG was shown:

What is the rhythm?

You see the angiogram of a patient.

What kind of pacemaker lead is this?

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

Which statement is TRUE about this tracing?

55 years old woman with history of episodic atrial fibrillation and severe mitral regurgitation who was on warfarin from 1 year ago, underwent Mitral Valve Replacement (MVR) 4 days ago. She was transferred to post-ICU ward in sinus rhythm but the palpitation suddenly begun (below ECG). 

Her vital signs were as follows: BP 95/60, No fever, Acceptable Respiratory Rate, Heart Rate 130.  

Bed-side Echocardiography showed moderate Left Ventricle (LV) dysfunction (EF 35-40%), mild Right Ventricle (RV) dysfunction, Good MV bileaflet motion and dilated Left atrium (LA).

What is your diagnosis and reasonable therapeutic approach?