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

Which statement is wrong?

A middle aged patient underwent EPS and Ablation for palpitation, ECG of arrhythmia before and after Adenosine are given with a trace of EP. 

What is the most possible diagnosis?

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? 

60 y/o woman with history of valve surgery and pacemaker implantation came to ED complaining of new onset dyspnea.

which statement is true about patient diagnosis?

A middle-aged patient underwent an electrophysiology study (EPS) and ablation; the tracing recorded during the ablation is available for review.

Which statement is wrong?

A 70 y/o with history of diabetes admitted in ED .She was diagnosed with hip fracture after she slipped accidentally at work. Now she is candidate for emergent surgery. The pre-op ECG is shown:

As a consultant physician, what is your opinion regarding the patient?

A 30 y/o lady with atypical chest pain underwent echocardiography & then candidated for catheterization.

Can you guess the procedure?

A 40 y/o man came to ED complaining of severe retrosternal chest pain which was started from 3 days ago.

ECG is shown:

According to ECG can you guess the location of occlusion in coronary artery?

Below you can find a 12-lead ECG and EP tracing of a middle-aged man with palpitations.

Which one is the most likely diagnosis?

A 74-year-old male with a history of heart failure and CRT-D implantation due to VT, presented with tachycardia and multiple ICD shocks.
Here you can find the patient's ECG and device analysis.

Which statement is NOT correct?

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 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 young man with frequent PVC. Below are 3 signals from RVOT, Distal CS, and RCC. 

Which signal do you think is the success signal?

A 35 year-old man with palpitations and narrow complex tachycardia on surface ECG referred for ablation. The Arrival rhythm was NSR. EPS was done. Arrhythmia was induced by program stimulation, in favor of orthodromic AVRT. During RV pacing, the pattern of VA conduction was eccentric. The most fused VA was found in CS 3-4, indicative of concealed left posterolateral accessory pathway. Trans-septal puncture was done. The best  signal (most fused VA)  was found in left posterolateral aspect of mitral annulus. RF applied on aforementioned area during RV pacing.

Four beats are marked. Which of the following explanations is most accurate?

A 68 y/o woman (wt=62 kg) came to the hospital with a chief complaint of palpitations and chest pain. Two weeks earlier, she underwent PCI procedure due to STEMI and she was receiving ASA 80 mg daily and Ticagrelor 90 mg BID. In laboratory findings, SrCr was 2.1 mg/dL and her ECG revealed atrial fibrillation. 

What is the most appropriate antithrombotic regimen for this patient during the first year after PCI?

A 75-year-old man with a history of CABG and recurrent device infection (twice) is currently undergoing a procedure. Fluoroscopy images of the intervention are shown.

What is the most likely interpretation of these fluoroscopy findings?

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

What is TRUE statement regarding 12 lead ECG :

You are visiting a patient in clinic, He recently underwent PCI for OM in another center & he complaining of at rest episode of chest pain, angiography was shown:

According to the angiography, which one is not a good choice for treatment of his chest pain?

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 70 y/o man came to ED complaining of dyspnea on exertion from long time ago. He claimed that he had a prosthetic valve, no medical record is available. Fluoroscopy is shown.

Can you guess the type & position of prosthetic valve?