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 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 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 56-year-old man with no known cardiac risk factors presented to our clinic for further evaluation following survival from sudden cardiac arrest (SCA) one week prior at an outside facility. The patient denied any cardiac symptoms, including chest pain or dyspnea. Vital signs were stable at presentation. ECG did not lead to any specific pathology. Echocardiography is shown

Which statement is false?

65 years old lady with complains of dizziness and palpitations and syncope. Three ECG tracings are shown:

What is the most probable diagnosis?

A 80 years old woman came to ED with Dizziness and Nausea.

Past Medical Hx : DM,HTN,CKD,CVA

ECG is shown:

What is your best diagnosis and treatment for this case ?

A 70-year-old woman with  exertional dyspnea FC 2  from several years ago referred to our center for further evaluation.

8 years ago, the patient had aborted SCD due to ventricular fibrillation documented by ECG & an ICD implanted subsequently for secondary prevention.

An ECG & echocardiography & coronary angiography were done for evaluation of patients dyspnea. 

Coronary angiography result: mild CAD

ECG &TTE are shown:

According to patient history and para-clinical data ,What's your most likely diagnosis for our patient?


 

A 38-year-old male presented with narrow complex tachycardia candidate for eps ablation. other than palpitation he had no other complaint. 
EPS has been planned.
Based on an echo which can be seen below.

whats is the next step according to the incidental finding?

A middle-aged lady underwent EPS with 3D mapping, below you can see the 3D mapping of her arrhythmia :

Based on the 3D mapping, what is the possible arrhythmia?

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?

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?

Below you can find the ECG of arrhythmia and CS venogram during RF ablation.

Where is the ablation catheter and what was the target of ablation?

An 80 years old man with history of Chronic Kidney Disease and Heart Failure, came to ED with weakness, loss of appetite, nausea.Recently Spironolactone and Valsartan added to his medications. ECG is shown.

What is your diagnosis?

A middle-aged lady with a history of dual chamber pacemaker implantation 10 years ago, came to the emergency department, with a temporary pacemaker implanted, ECG after that is shown:

What is the best explanation for the ECG?

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 38-year-old woman with recurrent premature ventricular contractions (PVC), a low left ventricular ejection fraction (LVEF), and a history of unsuccessful radiofrequency ablation (RFA) at another hospital underwent an electrophysiology study (EPS).

Where is the ablation catheter positioned? What are the potential complications?

A 35 y/o man with history of Tetralogy of Fallot surgery in childhood underwent Echocardiography for routine follow up:

Which one of the following was not seen in this Echocardiography?

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

Which statement is TRUE? 

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?

A 65-year-old gentleman with a history of ICMP ( EF:30%), came to our ED with a chief complaint of palpitation, His ECG is shown below :

According to his ECG, which one is the least possible diagnosis?