57 year old RN, history of hyperlipidemia presents with chest pressure on exertion, resolved within a few minutes of rest. She takes aspirin and atorvastatin 20 mg.
Stress test demonstrated: 7:12 on Bruce protocol, ST segment depression 1 mm leads 2,3,avF and SPECT imaging shows inferior ischemia. She underwent coronary angiography which showed normal coronary arteries. What is her diagnosis?

A 35 year old is seen for preconception counseling. Two years previously she was admitted with an acute coronary syndrome and the following cath findings: ( picture of left coronary system with multivessel SCAD. She is currently symptom free, on aspirin and beta blockade with excellent exercise capacity without ischemia on recent stress testing. Your recommendations are:

A 28 year old woman presents 16 weeks pregnant and noted to have a murmur by her obstetrician. She has no prior cardiac history. She was born in India but and emigrated to the US at the age of 12. She is asymptomatic. Which valve lesion would be the least concerning for maternal and fetal risk during her pregnancy?

A 32 year old women, with no prior cardiac history presents 38 weeks pregnant with palpitations. This is her first pregnancy. She denies dyspnea or chest pain. Her HR is 200 and her blood pressure is 110/70. Her cardiac exam is notable for 2/6 systolic ejection murmur at the right upper sternal border, prominent but not elevated JVP, mild peripheral edema. Her chest is clear. EKG is as follows ( shows SVT), the next best step is: