Case 121: A 76-Year-Old Woman Who Fainted History Diagnosis History A 76-year-old woman had a 2 years history of episodes of atrial fibrillation with rapid ventricular response. She was on Digoxin and Atenolol. The following ECG is recorded in the emergency department, where she is brought by ambulance after she fainted at home: Diagnosis Marked …
Case 122: A 66-Year-Old Woman in the Respirology Clinic History Diagnosis History A 66-year-old woman is followed in the respiratory clinic for longstanding severe obstructive lung disease and bronchiectases: Diagnosis Sinus tachycardia, 110/min with one premature atrial complex Right atrial enlargement Right axis deviation Right ventricular hypertrophy The presence of right atrial enlargement, right axis …
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Case 123: A 58-Year-Old Man in the Medical ward in Heart Failure History Diagnosis History A 56-year-old diabetic man with no history of chest pain is in the emergency department in congestive heart failure: Diagnosis Sinus tachycardia, 120/min Nonspecific intraventricular block Possible septal infarction, age undetermined Because of a QS pattern in V1 and V2 …
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Case 124: A 42-Year-Old Man with Chest Pain History Diagnosis History A 42-year-old diabetic man is seen by his family physician because of three episodes of anterior chest discomfort and breathlessness during the past two months: Diagnosis Sinus rhythm Left atrial enlargement Lateral myocardial infarction, age undetermined ST and T abnormality, consider inferior ischemia ECG …
Case 125: A 70-Year-Old Woman with a Heart Murmur History Diagnosis History A 70-year-old woman with known heart murmur for over 10 years, is lately complaining of central anterior chest pain and dyspnea on exertion: Diagnosis Sinus rhythm Left atrial enlargement Left ventricular hypertrophy with repolarization abnormality This lady was proven to have severe calcific …
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Case 126: A 65-Year-Old Man Feeling Dizzy and Weak History Diagnosis History A 67-year-old man is presenting to the Emergency Department feeling dizzy and weak. During the past 6 months he has suffered from episodes of paroxysmal atrial flutter and atrial fibrillation and had been on metoprolol and amiodarone. He had become free of palpitation, …
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Case 127: A 79-Year-Old Man after Aortic Valve Replacement History Diagnosis History A 79-year-old man had replacement of his aortic valve with a bio-prosthesis because of severe calcific aortic stenosis. This ECG tracing is recorded at the end of the operation: Diagnosis Sinus rhythm, with Mobitz II second degree AV block Right bundle branch block (RBBB) …
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Case 128: A 54-Year-Old Man in the Coronary Care Uni History Diagnosis History A 54-year-old man is admitted to the coronary unit with severe retrosternal pain of 3 hours duration: Diagnosis Sinus rhythm with Mobitz I second degree AV block Acute inferior myocardial infarction Acute anterior myocardial infarction ECG ID: E194
Case 129: A 73-Year-Old Woman in Cardiology Clinic History Diagnosis ECG 2 ECG 2 Diagnosis History A 73-year-old woman suffered from a myocardial infarct 6 years ago, but recovered and is free of angina. Routine ECG recorded in the cardiac clinic is as follow: Diagnosis Sinus bradycardia, 50/min Left anterior fascicular block (LAFB) and Right bundle branch …
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Case 130: A 51-Year-Old Woman in the Respirology Clinic History Diagnosis History A 51-year-old woman is followed in the respirology clinic because of severe idiopathic pulmonary fibrosis: Diagnosis Sinus rhythm Possible left atrial enlargement Right atrial enlargement Right axis deviation Right ventricular hypertrophy with repolarization abnormality Idiopathic pulmonary fibrosis had been diagnosed 3 years earlier …
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