Case 81: A 74-Year-Old Man with Dyspnea History Diagnosis History A 74-year-old man is seen in the cardiac clinic, complaining of dyspnea. He has a long history of coronary artery disease and has had several hospital admissions for congestive heart failure: Diagnosis Sinus rhythm with premature atrial complexes, non-conducted Left bundle branch block ECG ID: E321
Case 82: A 34-Year-Old Patient with Sickle Cell Crisis History Diagnosis History A 34-year-old man is presenting to the Emergency Department with severe pain in his back due to a sickle cell crisis, precipitated by exposure to cold and no chest pain: Diagnosis Sinus tachycardia with frequent premature atrial complexes with aberrant conduction Ventricular rate …
Case 82: A 34-Year-Old Patient with Sickle Cell Crisis Read More »
Case 83: A 26-Year-Old Man Admitted for Inguinal Hernia Repair History Diagnosis ECG 2 History A 26-year-old man with a history of chronic alcohol use is being admitted for inguinal hernia repair: Diagnosis Negative P waves in lead I, marked right axis deviation, rS pattern in the chest leads, with decreasing voltage from V3 to …
Case 83: A 26-Year-Old Man Admitted for Inguinal Hernia Repair Read More »
Case 84: A 68-Year-Old Man in the Emergency Department History Diagnosis ECG 2 History A 68-year-old businessman was at work in his office when he developed a sensation of pounding in his lower anterior chest. He had experienced five similar episodes in the past 4 years, that lasted 20-60 minutes. All subsided spontaneously, except one …
Case 84: A 68-Year-Old Man in the Emergency Department Read More »
Case 85: A 38-Year-Old Woman in the Emergency Department History Diagnosis ECG 2 History A 38-year-old female secretary suddenly felt weak and lightheaded while eating lunch. She noticed that her heart pounded rapidly and regularly with no neck pulsation or previous history of palpitation: Diagnosis Supraventricular tachycardia (AVNRT, AV Nodal Re-entrant Tachycardia) Non specific ST abnormality ECG …
Case 85: A 38-Year-Old Woman in the Emergency Department Read More »
Case 86: A 38-Year-Old Man with Cystic Fibrosis History Diagnosis ECG 2 ECG 2 Diagnosis History A 33-year-old man is admitted with acute respiratory exacerbation of his cystic fibrosis. While being vigorously treated in the medical ICU, he suddenly develops palpitation, increased dyspnea and weakness: Diagnosis Supraventricular tachycardia, 197/min There is a narrow-QRS tachycardia. No …
Case 87: A 59-Year-Old Woman on Chronic Renal Dialysis History Diagnosis History A 59-year-old woman on hemo-dialysis because of renal failure due to lithium nephrotoxicity is admitted to hospital with acute anterior chest pain: Diagnosis Sinus rhythm Acute pericarditis This patient has bipolar and manic depression and during the previous 10 days failed to show-up …
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Case 88: A 50-Year-Old Man with Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis History A 50-year-old man is admitted to an out-of-town hospital with an acute infarct. He received a fibrinolytic drug with transient improvement. Chest pain recurred and he is transferred for further treatment. Diagnosis Sinus rhythm with marked sinus arrhythmia Inferior-posterior injury …
Case 89: A 77-Year-Old Man in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis History A 77-year-old man is brought to the emergency department 2 hours after the onset of severe crushing anterior chest pain: Diagnosis Sinus rhythm Acute inferior-posterior infarct ECG 2 The patient was treated with fibrinolysis and there was rapid …
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Case 90: A 46-Year-Old Man with Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis History A 46 year old lawyer with no previous cardiac history had sudden onset of severe oppressive left anterior chest pain while sitting down in his office. He is presenting to the Emergency Ward within 20 minutes from the onset …
