Below You can find an EP tracing  AFTER the ablation of a patient with orthodromic AVRT.

What is your interpretation?

A middle-aged lady with palpitations underwent EPS, below you can see the EP tracings:

What is the most probable diagnosis?

A 24-year-old woman complains of pleuritic chest pain since two days ago.  The patient's pain is constant and has not decreased. The patient mentions the history of taking bodybuilding supplements and has complained of chronic cough for the past six months.

He did not complain of a recent cold or coryza symptoms.

  DH: Negative

  FH: Negative

  Vital signs: BP:120/80, PR:75, RR:18, T:37℃

  Lab findings: WBC:14000(N:70%), Plt:330,000 , CRP:NL, Trop:1200

According to angiography, which finding is incorrect?

According to case 641.

 What is the best plan for managing his arrhythmia?

A 70-year-old woman experiencing dizziness; below are the ECGs captured over the course of one day.

Which option is NOT as accurate in this scenario?

A 43-year-old  gentleman with a known case of Apical HCM underwent 48-h ECG holter monitoring for SCD risk stratification.

Below is one shot from his ECG Holter Monitoring :

Which one is the best next step?

A 44-year-old lady with history of exertional dyspnea FC 1-2  referred for interventional cardiac procedure. She complained DOE from 2 years ago. Trans thoracic echocardiography showed mild LV dilation with normal function and normal pulmonary artery pressure.

Which procedure was done for the patient?

A 45 y/o lady underwent EPS for evaluation of wide complex tachycardia.

EP tracing is shown:

What is the best explanation for this tracing?

A woman aged 30, with a known history of dilated cardiomyopathy (left ventricular ejection fraction, LVEF, at 15%), reported experiencing palpitations. Subsequently, three electrocardiograms (ECGs) were conducted and are presented below:

What types of arrhythmias are currently evident?

Sad day at the emergency department unit!

18 y/o girl came to ED complaining of worsening dyspnea since two weeks ago. She claimed that she could not sleep at all because of dyspnea. In her medical records, according to chronic cough, she was recently underwent a biopsy of the lymph node in her mediastinum, and the results showed lymphoproliferative disorder.

Her vital sign: HR=140 beat/min  BP=90/60   O2saturation=93 %    RR=30

An ECG & echocardiography was done immediately.

which statement is NOT true about the patient?

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 young patient underwent EPS for narrow complex tachycardia with the guide of Ensite Precision. Below you can find the propagation and sparkle map of the left atrium.

What is the possible mechanism of arrythmia?

A 44-years-old man with no past medical history was referred to ED due to general weakness and abnormal ECG findings (Figure 1). He did not take any medication. On physical examination, deformity of the extremities was evident (Figure 2). A brain CT was done due to suspicion of intracranial hemorrhage showing severe basal ganglia calcification (Figure 3).

What causes ECG changes?

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 59-year-old male was admitted to our emergency department with general weakness. He had been a heavy smoker (45 packs per year); however, he denied any past medical conditions and taking medication. On examination at first hospitalization, he was afebrile with respiratory rate, and blood pressure of 16 breaths/Min and 125/74 mmHg, respectively. He has a widespread wheeze of auscultation of the chest. 

What is the best next plan?

Analysis was conducted on a middle-aged patient who experienced an ICD shock; the corresponding tracing is provided below:

Which statement is wrong?

A 49-year-old man with a history of hypertension and smoking presented to the emergency department complaining of chest pain that started approximately 8 hours ago. His vital signs were stable. ECG is shown below.

Which statement is true?

An ECG of an elderly man with fever is provided below.

Seeking the optimal explanation for this ECG. What's your take?

A 55-year-old lady known case of hypothyroidism came to ER with a history of Transient loss of consciousness for about 30 seconds on the last day.
The episode was non-traumatic, abrupt in onset and she was in the sitting position.
She was complaining of dizziness that started 2 months ago.
Her initial Lab Data and Thyroid Function test was normal.
Her ECG is shown below.

What is the diagnosis and what is your next plan?

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?