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?

You are on an on-call duty, emergency department nurse sent you the following ECG.

What is your next appropriate step in management of the patient?

A male patient aged 68 years, with a non-recorded history of percutaneous coronary intervention (PCI), arrived at the emergency department complaining of chest pain that had begun a few hours prior. Following an ECG recording, a sudden cardiac arrest occurred, prompting immediate cardiopulmonary resuscitation (CPR) initiation involving chest compressions. The patient was immediately monitored and found to have ventricular fibrillation (VF) rhythm and a (DC) shock of 200 joules was administered, resulting in the restoration of sinus rhythm.

Based on the (ECG) obtained prior to the occurrence of cardiac arrest, and which is presented below, what would be the most appropriate course of action?

A 72-year-old male with a history of CABG 10 years ago and PPM-DR implantation last year due to CHB presented to the ER with a chief complaint of fatigue and dizziness persisting for the past month. Bedside echocardiography revealed an ejection fraction (EF) of 30-35%, moderate mitral regurgitation (MR), and no pericardial effusion.

Based on the ECG findings, what underlying condition or situation could be LESS responsible for these symptoms?

A 45 y/o lady underwent RF ablation for a focal Ventricular Tachycardia. A tracing is shown.

What EP tracing show us?

A 27-year-old gentleman with a known case of Tetralogy of Fallot with a history of VSD repair, PVR, and dual chamber ICD implantation due to VT 3 years ago came to our clinic with the chief complaint of frequent episodes of shock during the last 2 months.

Below is the analysis of his ICD during one episode of his arrhythmia:

What is the most probable diagnosis?

A 40-year-old man complained of shortness of breath and orthopnea during the last week. He had no usual cardiovascular risk factors, no history of medication, supplement, or drug use, and no history of recent viral infection.

The patient's appearance is significantly different from other family members (e.g. he is taller than his brothers.)

In the electrocardiogram, sinus tachycardia was seen.

In the echocardiography, EF=20% was reported and there was no evidence of LVH.

In the coronary angiography, there were no coronary lesions.

Based on his physical appearance, Which finding of the patient seems incorrect?

A middle-aged man with a history of accessory pathway ablation came to our clinic with chief complaint of recurrent palpitations.
(ECG:1-2)
He was scheduled for EP study, and the accessory pathway was successfully ablated.
The day after, he was complaining of pleuritic chest pain.(ECG :3)

Bedside echo revealed mild pericardial effusion.

which statement is not correct?

A 58-year-old male with a history of AVR, underwent implantation of a dual-chamber pacemaker from the right side of the chest. At the time of implantation, before leads screwing (Attachment of Leads to Device header) and placing the pacemaker in the pocket , the atrial lead impedance was 650 ohms. After placing the pacemaker in the pocket, suturing, and dressing the wound, reprogramming was performed. This time, the atrial lead impedance was 1750 ohms. Chest X-rays of the patient during implantation and after implantation are available.

What is the most likely diagnosis?

A middle-aged lady with frequent palpitations, EP tracings are shown below.

What is the most probable diagnosis?

A 65-year-old male underwent CABG 4 days ago for severe 3-vessels disease. the nurse calls on-call resident for the arrhythmia observed on the monitor.
The ECG is shown below.

Which statement is NOT correct?

A 62 years old lady with history of previous flutter ablation, she was candidate for Precision 3D mapping RF ablation, EPS and ablation is shown below:

Which statement is False about the procedure?

A 42 y/o male patient with history of atypical chest pain underwent coronary angiography due to positive ETT.

One view from RCA is shown below.

What do you think about the branch that is marked in the picture?

A 39-year-old lady with frequent palpitation, you can find ECG and EP tracings. 

What is the most probable diagnosis?

55 years old lady underwent EPS for recurrent palpitations.

Two EP tracing is shown.

Which diagnosis is unlikely?

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?

A 35 y/o man is candidated for ETT for evaluation of his chest pain. His baseline ECG  before ETT was shown:

What is the Rhythm?

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 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?

 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?