Case 41: A 45-Year-Old Man in the Emergency with Renal Colic History Diagnosis History A 45-year-old man is presenting to the Emergency Department with renal colic and hematuria: Diagnosis Sinus tachycardia, 117/min Left posterior fascicular block ECG ID: E508
Case 42: A 52-Year-Old Man with Recent Hospital Admission History Diagnosis History A 52-year-old man admitted 1 week earlier with retrosternal chest pain that lasted about one hour and mild troponin elevation is referred for further investigation and treatment: Diagnosis Sinus rhythm, 82/min Lateral myocardial infarction Coronary angiography demonstrated a total occlusion of the marginal …
Case 42: A 52-Year-Old Man with Recent Hospital Admission Read More »
Case 43: A 49-Year-Old Woman in the Cardiac Outpatient Clinic History Diagnosis History A 49-year-old woman is in the cardiac clinic for follow up 3 months after aorto-coronary bypass surgery: Diagnosis Coarse atrial fibrillation, with ventricular rate 86/min Inferior infarction, age undetermined In atrial flutter saw-tooth waves are usually seen in the inferior leads, and …
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Case 44: A 44-Year-Old Woman with Cardiomyopathy History Diagnosis History A 44-year-old woman with familial dilated cardiomyopathy is in the Emergency Department with palpitation and severe dyspnea of one hour duration: Diagnosis Ventricular tachycardia, 156/min ECG findings in favour of the diagnosis of VT: Wide QRS tachycardia with QRS duration >140 msec. AV dissociation RBBB …
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Case 45: A 51-Year-Old Man with Severe Anterior Chest Pain History Diagnosis History A 51-year-old man is brought to the Emergency Department 1 1/2 hour after the onset of severe retrosternal chest pain: Diagnosis Sinus tachycardia, 101/min Acute anterior infarction Possible inferior infarction, age undetermined ECG ID: E499
Case 46: A 64-Year-Old Woman with Valvular Heart Disease History Diagnosis History A 65-year-old woman is presenting with symptomatic mitral and tricuspid insufficiency: Diagnosis Sinus tachycardia, 106/min Biatrial enlargement Left ventricular hypertrophy with repolarization abnormality ECG ID: E497
Case 47: A 38-Year-Old Man with Palpitation History Diagnosis ECG 2 ECG 2 Diagnosis History A 38-year-old man is in the Emergency Department complaining of palpitation of 45 min duration. Palpitation started suddenly with a sensation of rapid pounding in his precordium, accompanied by mild light-headeness. He had a similar brief episode a few months …
Case 48: A 69-Year-Old Woman Seen in the EP Clinic History Diagnosis History A 69-year-old woman suffering from episodes of very rapid irregular palpitation for several months, lasting a few hours is presenting to the Electrophysiology Clinic on the referral of the family doctor who suspected episodes of paroxysmal atrial fibrillation and started her on digoxin. This ECG …
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Case 49: A 51-Year-Old Man in the Pre-op Clinic History Diagnosis History A 51-year-old man with good exercise tolerance and no symptoms or abnormal findings on physical examination suggesting cardiac disease, is in the pre-op clinic prior to a scheduled urology procedure: Diagnosis Ectopic atrial rhythm Atrial rate 85/min. – PR 90 msec No other …
Case 50: A 66-Year-Old Man with Cerebral Vascular Accident History Diagnosis History A 66-year-old man is admitted with intra-cerebral haemorrhage: Diagnosis Accelerated junctional rhythm, 89/min Long QT/QTc = 468/569 msec Junctional arrhythmias and QT prolongation may occur in patients with diseases of the central nervous system. ECG ID: E443
