A 43 years old gentleman with no remarkable past medical history, presented to the Emergency department with progressive weakness from 7 days ago.
He didn’t recall any pain or any other symptoms.

During first evaluations , his SBP was 250mmHg and his serum creatinine was 7 mg/dl. Based on his Chest X-ray, we performed echocardiography and CT angiography.

Below you can find CXR , CTA and echocardiogram.

What is your plan?

A 63 years old man with normal LVEF and history of palpitations and dizzi spells, underwent EP study.

ECG and EP tracing are shown :

According to EPS what is your diagnosis and next step of treatment?

Following case 632, the patient underwent EPS and ablation. The tracings are displayed below.

Which statement is not correct?

A 65 y/o man underwent coronary angiography for evaluation of atypical chest pain starting from 6 months ago; his past medical history was unremarkable regarding the risk factors of atherosclerotic coronary artery disease.

coronary angiography was shown:

According to patients CAG ,Which recommendation is not recommended in this patient?

A 19-year-old man with a history of smoking presented to the emergency department with chest pain and dyspnea that had been present for a few days. His vital signs were stable. An ECG is shown.

Which statement is true?

A 23-year-old woman experiencing palpitations has been referred for further evaluation. The 12-lead ECG is presented below.

Which statement is TRUE? 

• An 85 y/o woman was brought to ED by her children. She suffered from dementia so she could not explain her symptoms but her children claimed that their mother has experienced a syncopal attack a few hours before. She did not take any beta-blocker or calcium channel blocker in her drug history.

According to her ECG what is your next step for her management?

A 45 y/o lady underwent EPS for evaluation of wide complex tachycardia.

EP tracing is shown:

What is the best explanation for this tracing?

A 40 y/o man with narrow complex tachycardia. Both ECG and EP tracing are shown.

What is your diagnosis?

A 45 y/o lady came to ED complaining of atypical chest pain. According to ECG changes, two sets of troponin were sent, which came negative.

ECG & Coronary angiography were shown:

Which one of the following was not seen in the angiography?

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

which statement is TRUE?

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 42-year-old patient, with palpitations, ECG of both arrhythmia and resting are shown

Regarding ECG what is the most probable cause of arrhythmia?

A young lady with palpitation underwent EPS and ablation. Surface resting ECG is shown.

What is the most probable diagnosis of the patient's arrhythmia?

A 73 years old lady, history of CABG 5 years ago, consulted for this ECG to perform RF ablation,

What is your diagnosis and management?

Below you can find the sparkle mapping of a case of unsuccessful CCW flutter ablation.

what is the wrong statement? 

A middle-aged patient underwent EPS for palpitations, EP tracings are shown below:

What is the etiology of the arrhythmia?

Below you can find the Activation map and propagation map of a case with narrow complex tachycardia.

Based on these movies, which statement is TRUE?

A 68 years old lady underwent CRT-D implantation. Biventricular pacing is could not be achieved after implantation Fluoroscopy and chest X-Ray of the patient are given. ECG after implant also given:

What is wrong with the device?

A middle-aged lady had EPS for several episodes of palpitations, An EP trace during RF ablation is shown:

What is inferred from this tracing?