Case 51: A 64-Year-Old Woman with Congestive Cardiomyopathy History Diagnosis History A 64-year-old woman is followed in the cardiac clinic for congestive cardiomyopathy of 4 years duration. During the last year she has been stable and failure-free: Diagnosis Sinus rhythm Right superior axis deviation Nonspecific intraventricular block ECG ID: E458
Case 52: A 53-Year-Old Woman in the Pre-op Clinic History Diagnosis ECG 2 ECG 2 Diagnosis Comparing ECG 1 vs ECG 2 History A 57-year-old woman is being assessed in pre-op clinic before a left breast lumpectomy. 6 years ago she was told that her ECG was abnormal. She had been active without symptoms …
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Case 53: A 66-Year-Old Man in the Clinic History Diagnosis History A 66-year-old man is in the office of his family physician for his yearly assessment. He has a history of hypertension, well controlled on medication and he is active and apparently in good health: Diagnosis Sinus rhythm, 76/min Right axis deviation Left posterior fascicular block …
Case 54: A 68-Year-Old Man with Congestive Cardiomyopathy History Diagnosis History A 68-year-old man with 5 year history of congestive cardiomyopathy is in his family physician’s office for a routine assessment. His condition is stable and he has no symptoms or signs of heart failure: Diagnosis Sinus rhythm, 84/min Right superior axis deviation Nonspecific intraventricular block …
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Case 55: A 47-Year-Old Man with Severe Anterior Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis ECG 4 ECG 4 Diagnosis History A 47-year-old man with several risk factors for coronary artery disease is brought to the Emergency 65 min after onset of severe central anterior chest pain: Diagnosis …
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Case 56: A 51-Year-Old Woman in the Cardiac Clinic History Diagnosis History A 51-year-old woman is seen for follow-up in the cardiac clinic 4 years after cardiac surgery: Diagnosis Ectopic atrial rhythm, 75/min Incomplete right bundle branch block (iRBBB) This patient had successful atrial septal defect repair. ECG ID: E419
Case 57: A 72-Year-Old Woman with Cardiomyopathy History Diagnosis History A 72-year-old woman with a longstanding history of cardiomyopathy is seen in the emergency department for dyspnea: Diagnosis Ectopic atrial rhythm, 65/min Left bundle branch block ECG ID: E418
Case 58: A 88-Year-Old Woman in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis History A 88-year-old woman is admitted to the neurology ward from a nursing home for recent onset of confusion and left-sided weakness: Diagnosis The left leg electrode/cable is detached/non-functional This precludes the interpretation of the limb leads Non-specific ST depression in …
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Case 59: A 47-Year-Old Woman in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis History A 47-year-old woman is presenting to the Emergency department, complaining of epigastric discomfort of several hours duration: Diagnosis Suspect Lead error (incorrect placement of the V1, V2, V3 electrodes) Otherwise, a normal ECG …
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Case 60: A 73-Year-Old Man in the Emergency with Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis History A 73-year-old man in the Emergency Department with epigastric pain of 30 min duration: Diagnosis Suspect lead error Right arm – left arm reversal Please, repeat ECG. ECG 2 An ECG is recorded 15 minutes later, …
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