A 57 y/old woman was admitted with chest pain, dizziness, and DOE FC2 from one day ago 

PMH: NEG., DH: covid vaccination 3 weeks ago

Bp:130/70  PR :78  RR :18 T:37 Sat:97%

Echocardiography:  EF:55% ,mild MR. Mild to mod TR. TRG 26 PAP:31 no RWMA. NO  LV clot

Lab data: cr:1.1 _LDL:157 _CRP :3.6 WBC:11500 _PMN:78%  Trop: neg

He was referred to the cath lab for coronary angiography.

Angiogram is shown

Which diagnosis is most appropriate for this patient?

a 40 y/o man with a history of hybrid TEVAR operation underwent CT angiography for routine follow up:

CT angiography is shown:

In CT angiography there is an incidental congenital heart defect, can you guess what defect is shown?

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 30-year-old man with a history of palpitations from a year ago, has referred to the electrophysiology clinic.In the history taking, the patient mentioned episodes of palpitation with a sudden onset and abrupt termination, which is consistent with PSVT.

Despite the lack of the ECG during arrhythmia, the patient was scheduled for EPS ± ablation.

The patient EPS tracings was shown in the figure below:

What is the diagnosis? 

A 21 years old girl with frequent palpitations, both ECG and Holter are shown:

What is the diagnosis? Which complication should be considered with  RF ablation ?

a 42 year old male came to our ED with the chief complaint of palpitation, ECG of his arrhythmia and after adenosine injection is shown below : 

According to his ECG, which arrhythmia is not possible in this patient?

An old man with palpitations, ECG, and EP tracing are shown.

Based on EP Tracing what is the most probable diagnosis?

A 65 years old man admitted for frequent ICD shock, one episode of tracing shown below (movie)

What is the best explanation for the shock?

 A 52-year-old gentleman reffered for EP study, due to episodic palpitations and wide complex tachycardia requiring cardioversion in ER.

During EPS, the HV interval was  90 msec, and arrhythmia was induced with burst pacing.

Below you can find 12-lead ECG (during tachycardia, sinus rhythm ) and EP tracings.

What is the most probable diagnosis? 

A 16 years old girl with palpitations underwent EPS and ablation. Below you can find tracings of normal sinus rhythm and tachycardia and also EP tracing of the patient.

What is FALSE about this case?

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 17-year-old girl with palpitations underwent EPS, Two tracings of basic ECG and arrhythmia are shown.

What is the etiology of arrhythmia?

A 72_years_old female is referred to ED with epigastric pain, nausea and vomiting, confusion, general weakness, and blurred vision. She does not know her past medical history and the medication she takes.

ECG is shown:

What is your next preferred step for this patient?

A 32-year-old male presents to the cardiology clinic with a history of palpitations and syncope. He reports that he has been experiencing these symptoms for the past six months, and they have been increasing in frequency and severity. He denies any chest pain or shortness of breath.

A transthoracic echocardiogram (TTE) reveals mild dilatation of the right ventricle (RV) with reduced RV function and an ejection fraction of 40%. The left ventricle (LV) is normal in size and function.

The EKG is shown.

Based on the diagnosis, which one is correct?

A 75-year-old woman with a medical history of diabetes and hypertension, and a dual-chamber pacemaker, attended a follow-up appointment. Enclosed are ECG Holter tracings, a 12-lead ECG, and the device analysis for the patient.

Which statement is TRUE?

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?

36-year-old female with  hypercholesterolemia presents to the emergency room with 3 hours of chest pain and the following ECG.

How would you manage this patient based on this ECG?

A 50 y/o came to ED complaining of episodes of palpitation, his past medical history is otherwise unremarkable.

what is your most likely diagnosis for the patient?

35 y/o man came to ED with complain of fatigue & orthopnea from 1 month ago. echocardiography was shown :

Which one is NOT seen in this patient?

A 25-year-old multiparous woman, seven weeks after her third caesarean delivery, experiences shortness of breath and bilateral lower limb edema. During the initial evaluation, pulmonary rales are heard, and the echocardiography reports an EF=20%. The patient is not taking any supplementary drugs and does not mention any family history of heart problems. A coronary CT angiography was requested and reported normal results. 

Based on the diagnosis, which option is incorrect?