Case 11: A 75-Year-Old Man with Palpitation History Diagnosis History A 75-year-old man with no previous cardiac complaints and normally active is in the Emergency Department complaining of palpitation and mild dyspnea of one hour duration: Diagnosis Atrial Tachycardia, 163/min Non-specific T wave abnormality ECG ID: E712
Case 12: A 76-Year-Old Woman in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis History A 76-year-old woman with documented non-ischemic cardiomyopathy is brought to the Emergency Department with palpitation, severe dyspnea and weakness of 1 1/2 hour duration: Diagnosis Wide QRS tachycardia, 150/min Most likely VENTRICULAR TACHYCARDIA In favour of the diagnosis of …
Case 12: A 76-Year-Old Woman in the Emergency Department Read More »
Case 13: A 72-Year-Old Man in the Cardiac Clinic History Diagnosis History A 72-year-old man in the cardiac clinic for reassessment for complaints of palpitation and fatigue: Diagnosis Atrial flutter with 3:1 AV conduction – Ventricular rate 90/min Incomplete right bundle branch block (iRBBB) (QRS duration = 110 msec) Septal infarction, age undetermined ECG ID: …
Case 13: A 72-Year-Old Man in the Cardiac Clinic Read More »
Case 14: A 66-Year-Old Man in the Cardiac ICU History Diagnosis ECG 2 ECG 2 Diagnosis History A 66-year-old stable man in satisfactory condition is admitted to the cardiac ICU after successful aorto-coronary bypass surgery: Diagnosis Sinus rhythm, 93/min with marked first degree AV block (PR = 800 msec) One premature ventricular complex ST-T abnormality, …
Case 15: A 22-Year-Old Man in the Emergency with Palpitation History Diagnosis History A 22-year-old man is seen in the Emergency Department with rapid palpitation, dyspnea and weakness of 1 hour duration. He gives a history of occasional milder episodes of palpitation since his early teens, that subsided spontaneously in 15-20 minutes. He otherwise enjoys …
Case 15: A 22-Year-Old Man in the Emergency with Palpitation Read More »
Case 16: A 59-Year-Old Man in the Emergency with Palpitation History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 59-year-old man is in the emergency department with palpitation and mild dyspnea. He had experienced 3 similar episodes during the previous 4 months, that had subsided spontaneously in 1/2 – 1 …
Case 16: A 59-Year-Old Man in the Emergency with Palpitation Read More »
Case 17: A 38-Year-Old Man in the EP Clinic History Diagnosis History A 38-year-old lawyer is referred to the Electrophysiology Clinic following an episode of near-syncope. He was discovered to have an abnormal ECG when he was 30 year old, during a routine assessment after he applied for life insurance. The ECG findings remain unchanged: …
Case 18: A 56-Year-Old Woman in the Cardiac Clinic History Diagnosis History A 56-year-old woman with a non-ischemic cardiomyopathy is seen in the cardiac clinic for a reassessment: Diagnosis Atrial tachycardia with variable AV conduction Atrial rate 200/min, ventricular rate 77/min Non-specific ST abnormality ECG ID: E654
Case 19: A 83-Year-Old Man in the Cardiac Clinic History Diagnosis History A 83-year-old man is in the cardiac clinic: Diagnosis DDD pacing (atrial sensed, ventricular paced rhythm) Underlying sinus tachycardia, 109/min, Comment: The atrial activation (P) is sensed and is followed, after the programmed AV interval, by a ventricular paced output (the “spike”, a …
Case 19: An 83-Year-Old Man in the Cardiac Clinic Read More »
Case 20: A 82-Year-Old Woman with Chest Pain History Diagnosis History A 82-year-old woman is admitted to the CCU with chest pain: Diagnosis DDD pacing (atrial paced, ventricular paced rhythm) ECG ID: E624
