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Case 131: A 47-Year-Old Woman with Cardiomyopathy

Practice Level 3

Case 131: A 47-Year-Old Woman with Cardiomyopathy History Diagnosis History A 47-year-old woman with known cardiomyopathy, is in the Intensive Care unit in low-output circulatory failure with recurrent episodes of tachyarrhythmias: Diagnosis Polymorphic ventricular tachycardia Polymorphic ventricular tachycardia, rate 180/min.The QRS is markedly wide (180 msec) with variable pattern (best seen in the V1 and …

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Case 135: A 58-Year-Old Man 5 Days after Aortic Valve Replacement

Practice Level 3

Case 135: A 58-Year-Old Man 5 Days after Aortic Valve Replacement History Diagnosis ECG 2 ECG 2 Diagnosis History A 58-year-old man is being monitored in the cardiac surgical ward 5 days after replacement of his aortic valve because of severe aortic regurgitation, when he developed palpitation and dyspnea: Diagnosis Atrial fibrillation with rapid ventricular …

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Case 136: A 52-Year-Old Woman with Sleep Apnea

Practice Level 3

Case 136: A 52-Year-Old Woman with Sleep Apnea History Diagnosis History A 52-year-old developmentally challenged woman, obese and with sleep apnea has the following ECG: Diagnosis Sinus rhythm Right atrial enlargement (tall positive component of the P wave in V1) Right axis deviation Right ventricular hypertrophy with repolarization abnormality 5 year ago this lady had …

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Case 138: A 60-Year-Old Woman with Renal Artery Stenosis

Practice Level 3

Case 138: A 60-Year-Old Woman with Renal Artery Stenosis History Diagnosis History A 60-year-old woman who has been treated for hypertension due to renal artery stenosis, is presenting with recent onset of angina on exertion: Diagnosis Sinus rhythm Left atrial enlargement Left ventricular hypertrophy T wave abnormality, consider lateral ischemia In the typical “strain pattern” …

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Case 139: A 70-Year-Old Woman in the ICU with Pneumonia

Practice Level 3

Case 139: A 70-Year-Old Woman in the ICU with Pneumonia History Diagnosis ECG 2 ECG 2 Diagnosis History A 70-year-old woman with chronic severe obstructive lung disease is in the medical intensive care unit with bronchopneumonia: Diagnosis Atrial tachycardia with 2:1 AV block Ventricular rate 96/min Right axis deviation   Right ventricular hypertrophy Non-specific T …

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