Case 21: A 50-Year-Old Man in Cardiology Clinic History Diagnosis History A 50-year-old man is in the cardiac clinic: Diagnosis AAI pacing (paced atrial rhythm, 50/min) Prolonged AV conduction (PR interval 220 ms) Anterior infarction, age undetermined T wave abnormality, possible anterolateral ischemia ECG ID: E621
Case 22: A 72-Year-Old Man in the Cardiac Clinic History Diagnosis History A 72-year-old man is in the cardiac clinic: Diagnosis Electronic ventricular pacemaker, rate 53/min Underlying sinus rhythm with complete heart block One premature ventricular complex There are regular sinus P waves (rate 67/min), with complete AV block. There is a single chamber ventricular …
Case 22: A 72-Year-Old Man in the Cardiac Clinic Read More »
Case 23: A 43-Year-Old Man in the Pre-anaesthesia Clinic History Diagnosis ECG 2 ECG 2 Diagnosis History Routine ECG tracing of a 45 year old man scheduled to undergo knee surgery following an accidental trauma: Diagnosis Left arm cable/electrode detached or nonfunctional (lead I has not been recorded) This precludes the interpretation of the limb …
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Case 24: A 44-Year-Old Man with Palpitation History Diagnosis ECG 2 ECG 2 Diagnosis History A 44-year-old man is in the emergency department with rapid palpitation of 2 hours duration. He has had 3 similar episodes in the past 5 years, that had started and subsided spontaneously within 20-30 minutes: Diagnosis Supraventricular tachycardia, probably AVRT …
Case 25: A 79-Year-Old Woman in the Cardiac Surgical ICU History Diagnosis ECG 2 ECG 2 Diagnosis History A 79-year-old woman is in the cardiac surgical ICU 6 hours after a 3-vessel aorto-coronary bypass operation: Diagnosis Ventricular tachycardia, rate 170/min ECG criteria for VT: Wide QRS tachycardia (QRS duration 200 msec) Positive concordance (broad R waves …
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Case 26: A 57-Year-Old Man in the Emergency Department History Diagnosis History A 57-year-old smoker with a history of chronic obstructive lung disease and sleep apnea is in the emergency department complaining of increasing dyspnea and cough during the past 3 days: Diagnosis Sinus tachycardia, 140/min Biatrial enlargement Right axis deviation Findings are suggestive of …
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Case 27: A 70-Year-Old Man in the ICU with Respiratory Failure History Diagnosis History This 70-year-old man with COPD is admitted to the ICU with severe respiratory failure: Diagnosis Atrial flutter with 2:1 AV conduction (changing to variable AV conduction during the last 2 seconds of recording) Left axis deviation Low QRS voltage in the …
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Case 28:A 50-Year Old Woman in the Medical ICU History Diagnosis History A 50-year-old woman suffered from bilateral bronchiectasis and chronic pseudomonas lung infection for many years. Her condition has recently deteriorated and she is in the medical ICU in severe respiratory failure: Diagnosis Sinus tachycardia, 106/min Left atrial enlargement Right axis deviation Comment: Prominent negative P …
Case 29: A 58-Year-Old Man in the Diabetic Clinic History Diagnosis ECG 2 ECG 2 Diagnosis Explanatory Slide History A 58-year-old man with no cardiac complaints is seen for a reassessment in the diabetes clinic: Diagnosis Lead placement error: Right Arm – Right Leg Reversal (this preclude the assessment of the limb leads) In the chest …
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Case 30: A 37-Year-Old Man in the Emergency with Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis Explanatory Slide History A 37-year-old man is in the Emergency Department with localized anterior chest pain made worse by palpation of the chest wall: Diagnosis Lead placement error: Right Arm – Right leg reversal (this precludes the interpretation …
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