ecgmadesimple, Author at ECG Made Simple

Case 101: A 78-Year-Old Woman 5 days after Bypass Surgery

Case 101: A 78-Year-Old Woman 5 days after Bypass Surgery History Diagnosis History A 78-year-old woman suffered from a myocardial infarction while being treated in hospital for hip fracture. Coronary angiography showed three-vessel coronary artery disease. She underwent bypass surgery. Five days after the operation she is complaining of palpitation and dyspnea: Diagnosis Atrial flutter …

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Case 102: A 73-Year-Old Woman with Angina

Practice Level 3

Case 102: A 73-Year-Old Woman with Angina History Diagnosis History A 43-year-old diabetic woman is seen in the Emergency Department with a one-week history of recurrent chest pain: Diagnosis Sinus rhythm Right bundle branch block Septal myocardial infarction, age undetermined Possible inferior myocardial infarction, age undermined (the statement of “possible inferior myocardial infarction” is made …

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Case 103: A 39-Year-Old Man with Severe Palpitation

Practice Level 3

Case 103: A 39-Year-Old Man with Severe Palpitation History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 History A 39-year-old limousine driver had complained of episodes of rapid palpitation for the past 15 years, starting and stopping suddenly, lasting 1-2 hours. On the way to a client, he developed a much more severe episode, accompanied …

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Case 104: A 58-Year-Old Man in Anesthesia Clinic

Practice Level 3

Case 104: A 58-Year-Old Man in Anesthesia Clinic History Diagnosis History This is the ECG of a 58 year old man who is being assessed in the anaesthesia clinic prior to a prostatectomy. ST elevation has been noted. The patient has no history of chest pain or dyspnea. His exercise tolerance is good: Diagnosis Sinus rhythm Early …

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Case 105: A 72-Year-Old Man complaining of Weakness

Practice Level 3

Case 105: A 72-Year-Old Man complaining of Weakness History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 72-year-old hypertensive diabetic man is brought to the Emergency Department because of nausea, malaise and increasing weakness for the past 3 days. He had very little fluid intake, despite very hot humid weather. He …

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Case 106: A 54-Year-Old Diabetic Man with Dyspnea on Exertion

Practice Level 3

Case 106: A 54-Year-Old Diabetic Man with Dyspnea on Exertion History Diagnosis History A 54-year-old diabetic man is in his family doctor’s office. One month ago he started complaining of dyspnea and weakness on walking quickly to a bus-stop two short blocks from his home. Previously he did regular moderate exercise without symptoms: Diagnosis Sinus …

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Case 107: A 57-Year-Old Diabetic Man with Dyspnea on Exertion

Practice Level 3

Case 107: A 57-Year-Old Diabetic Man with Dyspnea on Exertion History Diagnosis History A 57-year-old diabetic man is seen in the family doctor’s office. One month ago he started complaining of dyspnea and weakness on walking quickly to the bus-stop three short blocks from his home. Previously he had been free of symptoms during moderate …

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Case 108: A 43-Year-Old Woman with Asthma

Practice Level 3

Case 108: A 43-Year-Old Woman with Asthma History Diagnosis History A 43-year-old woman is presenting to the emergency department complaining of exacerbation of her asthma. She often complains of palpitation that she describes as a sensation of “thumps in her chest”: Diagnosis Sinus rhythm with premature atrial complexes (one with aberrant conduction) Left atrial enlargement …

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Case 109: A 55-Year-Old Man with Atypical Chest Pain

Practice Level 3

Case 109: A 55-Year-Old Man with Atypical Chest Pain History Diagnosis History A 55-year-old man with dyslipidemia and hypertension is referred to the cardiac clinic by his family physician because of a change of his ECG findings and atypical chest pain. His ECG had been previously normal: Diagnosis Sinus bradycardia, 55/min. Right bundle branch block …

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Case 110: A 69-Year-Old Man with Sarcoidosis

Practice Level 3

Case 110: A 69-Year-Old Man with Sarcoidosis History Diagnosis History A 69-year-old man, treated for systemic sarcoidosis for the past 2 years, is admitted for treatment of an arrhythmia: Diagnosis Sinus rhythm with Mobitz I second degree AV block Ventricular rate 48/min This patient had been known to have second degree AV block for several months …

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