A young patient underwent EPS for narrow complex tachycardia with the guide of Ensite Precision. Below you can find the propagation and sparkle map of the left atrium.

What is the possible mechanism of arrythmia?

A 60 y/o lady, with complaints of recurrent everyday palpitations, 24h ECG Holter revealed several episodes of tachy arrhythmia, LVEF= 40%. One page of holter shown below:

What is the most probable etiology according to arrythmia behavour in ECG Holter?

A 67-year-old male patient with a history of diabetes and hypertension came to our clinic with the chief complaint of DOE FCII from 3 months ago

His ECG is shown below

Echo: EF: 50 %, SPAP: 55,  Severe LVH, Diastolic Dysfunction Grade III, biatrial enlargement

CMR: RCM, Cardiac amyloidosis should be considered

We ordered Protein Electrophoresis with immunofixation which result is shown below :

M peak : 3.1 g/dl ( normal range < 3 g/dl )

What is the best next step?

A young man was referred to the ED after experiencing syncope during exercise. He was unresponsive upon arrival. Below are the ECGs obtained during resuscitation and at rest.

What is the most probable diagnosis?

30 y/o female patient underwent catheterization.

two shots of her catheterization were shown:

What is the patient diagnosis?

A 70 y/o with history of valve surgery underwent echocardiography.

Which statement is TRUE about the patient?

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 57-year-old lady came to ER with chief complaint of dizziness since a week ago.
Here you can find her ECG,
the second ECG is taken after the administration of Atropine.

what is your diagnosis,and where is the level of the block?

An 18 years old girl underwent EPS ablation regarding history of palpitations and presence of minimal preexcitation in ECG. Below you can find ECG and an EP tracing.

What is your idea about the location of accessory pathway?

A 50 years old lady with history of unsuccessful RF ablation underwent EP, Arrhythmia was easily inducible with programmed stimulation, below you can see surface ECG, Entrainment maneuver and also 3D mapping with precision:

What is the mechanism of arrhythmia?

A 62 year-old-man was referred with a history of palpitations, LVEF=40%, and mild coronary artery disease. Two sets of ECG are shown.

Which of the option is NOT evident in these ECGs?

A 70 y/o man come to your clinic for evaluation of occasional cough. You have done a CXR during his work up.

chest X-ray is shown:

The structures which were shown by arrows are:

A 35 years old pregnant lady came to ED with Narrow Complex Tachycardia (ECG below)

Echocardiography showed LVEF=35%

What is the most probable diagnosis?

A middle-aged patient with wide complex tachycardia presented in ER. A rhythm strip and 12 lead ECG are shown below:

What is your diagnosis?

A 50 y/o male patient was admitted in the ICU, due to severe head trauma. He was unconscious (GCS:6) and his past medical history was not clear.
His SBP was 145 mmHg at the time of admission.Emergent craniotomy and hematoma drainage was performed and he was stable in the first day.

Cardiology consult was requested due to rise in Troponin level and ECG changes. 
In day 2, he became hypotensive, that was refractory despite initiating vasopressor agent.
You can find brain CT scan and ECG below.

What’s the best choice ?

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

What is your diagnosis?

A 46 y/o male patent came in to clinic for outpatient follow up , 5 years ago he underwent cardiac surgery.

Bellow you can find his echocardiogram.

What was his cardiac surgery ?

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 68-year-old woman with history of diabetes mellitus, peripheral arterial disease, and breast cancer is referred to your outpatient clinic for decision regarding antithrombotic agents. In laboratory findings, creatinine and platelet count were 0.9 mg/dL and 88,000 × 10⁹/L, respectively.

She was receiving Aspirin 80 mg daily, Rivaroxaban 2.5 mg BD, Pantoprazole 40 mg daily, Atorvastatin 40 mg BD, and Empagliflozin/Linagliptin 10/5 mg daily. Her chemotherapy regimen was Docetaxel + Carboplatin + Trastuzumab.

Which is your preferred antithrombotic regimen?

A 63 years old male came to emergency department with typical chest pain from 2 days ago. Urgent coronary angiography was done. 

What does coronary angiogram show?