Case 31: A 77-Year-Old Man in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis History A 77-year-old man is presenting to the emergency department for episodes of severe weakness and near-syncope during the past 24 hours: Diagnosis Atrial flutter with complete heart block Escape wide QRS rhythm, with right bundle branch block pattern …
Case 31: A 77-Year-Old Man in the Emergency Department Read More »
Case 32: A 72-Year-Old Woman with Angina History Diagnosis History A 72-year-old woman with a past history of myocardial infarction and bypass surgery is admitted for investigation of frequent angina on exertion: Diagnosis Sinus rhythm, 62/min 1st degree AV block (PR = 480 msec.) Incomplete right bundle branch block (iRBBB) ST and T abnormality, consider …
Case 33: A 71-Year-Old Man in the CCU History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 71-year-old man, who had angioplasty and stenting of the main left and anterior descending coronary arteries 10 months earlier, is admitted to the CCU with non-ST-elevation myocardial infarction. He is scheduled to undergo …
Case 34: A 28-Year-Old Woman in the Emergency Department History Diagnosis History A 28-year-old woman is in the Emergency Department complaining of very localized sharp pain in the left anterior chest “coming and going”, lasting seconds: Diagnosis Sinus rhythm, 70/min Early repolarization, a normal variant ECG ID: E546
Case 35: A 39-Year-Old Man with Episodes of Paroxysmal Palpitation History Diagnosis ECG 2 ECG 2 Diagnosis History A 39-year-old man is referred to the EP clinic because of occasional episodes of palpitation since his early twenties: Diagnosis Sinus rhythm Wolff-Parkinson-White ECG 2 EP studies reveals a left lateral bypass tract that is successfully …
Case 35: A 39-Year-Old Man with Episodes of Paroxysmal Palpitation Read More »
Case 36: A 25-Year-Old Woman with Episodes of Palpitation History Diagnosis ECG 2 ECG 2 Diagnosis History A 25-year-old woman is referred to the EP clinic because of episodes of paroxysmal tachycardia since age 19: Diagnosis Sinus rhythm Short PR, delta waves Wolff-Parkinson-White ECG 2 EP studies demonstrate a right free wall bypass tract …
Case 36: A 25-Year-Old Woman with Episodes of Palpitation Read More »
Case 37: A 63-Year-Old Woman in the Cardiac Clinic for Reassessment History Diagnosis History A 63-year-old woman with a 4 year history of coronary artery disease is in the cardiac clinic for reassessment. She is stable, with infrequent mild angina on exertion: Diagnosis Sinus tachycardia with frequent non-conducted premature atrial complexes (PAC) Left axis deviation …
Case 37: A 63-Year-Old Woman in the Cardiac Clinic for Reassessment Read More »
Case 38: A 75-Year-Old Woman with Palpitation History Diagnosis ECG 2 ECG 2 Diagnosis History A 75-year-old woman is in the Emergency Department 45 minutes after onset of rapid regular palpitation with neck pounding and mild anterior chest tightness: Diagnosis AV Nodal Re-entrant Tachycardia (AVNRT), rate 136/min Non-specific ST and T wave abnormality ECG 2 …
Case 39: A 39-Year-Old Man with Progressive Exertional Dyspnea History Diagnosis History A 39-year-old man with past history of recurrent deep vein thrombosis is presenting with dyspnea on exertion that has been progressive during the last 3 weeks: Diagnosis Sinus rhythm, 95/min Possible left atrial enlargement Right axis deviation S1Q3 pattern Incomplete right bundle branch …
Case 39: A 39-Year-Old Man with Progressive Exertional Dyspnea Read More »
Case 40: A 74-Year-Old Man in Cardiac Surgery Ward History Diagnosis History A 74-year-old man is in the cardiac surgery ward one day after successful aorto-coronary bypass: Diagnosis Sinus tachycardia, 102/min with frequent and successive premature ventricular complexes ECG ID: E514
