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?

70 y/o man with history of COPD & CHF came to ED complaining of palpitation. ECG is shown:

What is the rhythm?

A 35 y/o woman was evaluated for shortness of breath.

Echocardiography is shown:

what is the most likely diagnosis?

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 64-year-old male with a past medical history of CRT-P implantation 5 years ago,(with no medical record document) came to ER with chief complaint of syncope yesterday at 5 pm.

Here you can find the ECG and the arrhythmia episode concomitant with the syncope event.
What is the best choice?

A 56 years old Lady with frequent PVC and palpitations underwent EPS ablation, after successful PVC ablation below tracing recorded.

In regard to these tracing what other arrhythmia is possible?

A patient with Dual chamber ICD came for analysis, below you can find analysis tracing and chest X-ray.

According to analysis and chest x-ray, what is the probable diagnosis?

A 64-year-old lady came to your clinic with the chief complaint of palpitation. The 24-hour ECG Holter is shown below:

What's the  accurate diagnosis for the WCT revealed in ECG holter?

A young boy with frequent palpitations, below you can find EP tracing of arrhythmia and also post-pacing interval.

What is the most probable diagnosis?

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?

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

which statement is true about our patient?

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

What is the most likely diagnosis?

 You were on an on-call duty. The emergency department nurse paged you because of cardiac arrest at ED. The ECG of patient at arrival is shown:

Which one of the following statement is the most suitable diagnosis for this ECG?

A 35 y/o lady came to your clinic for routine checkup. She claimed that she had a congenital heart disease which was corrected many years ago.

according to CXR ,what is your assumption for her past congenital disease?

An EP tracing of a patient with AVNRT is shown below:

What is your interpretation for the beat mentioned? 

A 24-year-old woman complains of pleuritic chest pain since two days ago.  The patient's pain is constant and has not decreased. The patient mentions the history of taking bodybuilding supplements and has complained of chronic cough for the past six months.

He did not complain of a recent cold or coryza symptoms.

  DH: Negative

  FH: Negative

  Vital signs: BP:120/80, PR:75, RR:18, T:37℃

  Lab findings: WBC:14000(N:70%), Plt:330,000 , CRP:NL, Trop:1200

According to angiography, which finding is incorrect?

Below you can find the ECG of arrhythmia and CS venogram during RF ablation.

Where is the ablation catheter and what was the target of ablation?

A young patient came with palpitations and narrow complex tachycardia, 12 lead ECG is shown below:

What is the most probable diagnosis?

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 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?