A 40 y/o asymptomatic patient evaluated for ejection type systolic murmur.

Echocardiography is shown.

What is the most likely diagnosis?

A 12-year-old girl underwent an EPS procedure due to congenital heart disease.
RV gram is shown: 

What is the wrong statement?

A 55 years old man with HOCM, referred for evaluation of 48h ECG Holter monitoring

What is the rhythm?

A 52 y/o man underwent echocardiography for evaluation of dyspnea on exertion .

Based on echocardiography could you guess the mechanism of severe MR?

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 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 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 45 years old women came to office with mildly positive MPI scan. She was worried about the results. She was hypertensive with family history of premature coronary artery disease. Cardiologist decided to perform coronary angiogram. 
Angiogram is shown:

What is the diagnosis and the appropriate treatment strategy? 

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

What is the most probable diagnosis?

50 y/o man underwent echocardiography for evaluation of orthopnea .

Trans-thoracic Echocardiography is shown.

which one is NOT seen in this echocardiography?

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 young lady underwent EPS for palpitation, during ventricular pacing this arrhythmia happened.

What happened?

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

What is the most probable diagnosis?

Below you can find BP recording of a patient during EP study for SVT.

which statement is wrong?

A 56 years old male patient with palpitations and frequent PVCs on surface ECG with PVCs burden of 40% on Holter monitoring , referred for ablation. Below you can find the  surface electrocardiogram.

Based on the surface ECG , what is the most possible localization for PVCs.

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?


 

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?

A 39-year-old man with history of DCM and reduced LVEF (25%), presented with palpitations and frequent PVC on surface ECG and Holter monitoring (PVC Burden: 40%), referred for ablation. EPS was done by 3D NAVX/Precision mapping guide. Initially, Based on surface ECG which was compatible with LV summit origin, mapping was started within CS, the best earliest signal was found in GCV (-42ms). RF applied on aforementioned area, but PVCs did not disappear. So, mapping was done via retrograde trans-aortic approach. After maintaining safe distance from LM,LCX and LAD by coronary angiography and considering correspondent point from epicardial mapping, the best earliest point was found around ILT area (-44ms). RF applied on aforementioned area and PVCs disappeared immediately.

Four fluoroscopic views and surface ECG are shown.

Which of the fluoroscopic views is in favor of catheter ablation position in the ILT (Inter Leaflet Triangle)?

A middle-aged patient with history of AVR, symptomatic PVC (30%) unresponsive to beta-blockers and Sotalol. ECG is shown: 

What is your plan? 

A middle-aged man with MVR, EPS performed, Below are the findings: ECG during arrhythmia, EP tracings, fluoroscopic imaging, and sinus rhythm ECG.

What is the best explanation?