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 60 y/o man underwent EP study and concomitant coronary angiography, During CAG severe sudden chest pain developed, 12 lead ECG was recording for EP study which is shown.

What is the best explanation for his chest pain?

A 65 years old lady with history of previous (3 years ago) cryoballoon for AFib, referred for recurrence of AF rhythm. She was candidated for RF ablation by Precision 3D mapping showed below:

According to 3D mapping, which option could be the etiology of AF recurrence?

49 years old man underwent EPS ablation for atrial flutter, coronary angiography also performed. Below you can find a shot of angiography: 

What is the most probable diagnosis?

17 y/o girl underwent catheterization for evaluation of congenital heart disease. Catheterization is shown:

Which one of the following congenital anomaly could NOT explain this catheterization course?

 A 16 y/o girl with history of recurrent convulsive episodes refractory to anti convulsive drugs, is consulted. In addition to various neurologic evaluation there are some ECG tracings which shown below.

Regarding ECG tracings, What is your idea about the patient ?

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

What is your diagnosis?

33 years old man underwent cardiac surgery 4 days ago. ICU head nurse called me to visit the patient for mild dyspnea. CXR was ordered. 

What do you think about the baseline pathology? what other abnormality do you see? 

A 68-year-old man with a left ventricular ejection fraction (LVEF) of 25%, experiencing frequent premature ventricular contractions (PVCs) at a burden of 45%, and mild coronary artery disease (CAD). The 12-lead ECG is displayed below.

Which statement is FALSE?

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 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 60-year-old lady with the complaint of syncope, two ECGs are shown:

which statement is FALSE?

A 50 y/o man underwent echocardiography for assessment of heart murmur.

What is your most likely diagnosis?

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?

Below you can find EP tracings of AF cryo-ablation of a young lady with paroxysmal AFib.

Which statement is WRONG about these tracings?

Below you can find the movie of 3D mapping of atrial flutter performed with Ensite Precision. 

Which statement is NOT correct?

A 39-year-old woman is experiencing paroxysmal palpitations. Below are the electrophysiological (EP) tracings.

What is the most probable diagnosis?

A 35 y/o man with a history of BAV was admitted to the hospital. He was complaining of retrosternal chest pain, due to clinical suspicion for aortic dissection D-dimer test was checked and was positive.

CT angiography is shown:

the arrow points to....?

An 82-year-old lady came to the ER with the chief complaint of palpitation, she denied any complaints of dyspnea and chest pain, and her past medical history was remarkable for Dual chamber pacemaker implantation 6 months ago due to complete AV block.

what is the best next step ?

35 y/o man underwent EPS and RF ablation with diagnosis of posteroseptal accessory pathway. Below you see a tracing after RF ablation with injection of 12 mg Adenosine.

Which statement is TRUE about this tracing?