Case 141: A 68-Year-Old Woman with Irregular Pulse History Diagnosis History A 68-year-old woman is referred to the ECG laboratory by her family physician. No history is provided: Diagnosis Sinus rhythm with bigeminal sequence Likely sinus rhythm with premature atrial complexes Comment: Given the p-wave morphology of the early atrial beat is slightly different than …
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Case 142: A 57-Year-Old Man with Chest Pain History Diagnosis History This 57-year-old man with a 6 months history of angina is in the emergency department complaining of anterior chest pain and dyspnea: Diagnosis Sinus rhythm Acute anterolateral infarct ECG ID: E264
Case 143: A 43-Year-Old Man in the Renal Dialysis Unit History Diagnosis History This 43-year-old man is treated in the dialysis unit for chronic renal failure: Diagnosis Sinus rhythm with first degree AV block Left atrial enlargement Left ventricular hypertrophy with repolarization abnormality Prolonged QT (QT/QTC = 444/506 msec) ECG ID: E189
Case 144: A 32 Year-Old Man with Severe Chest Pain History Diagnosis History This 33 year old man was walking briskly to work when he developed crushing anterior chest pain. An ambulance arrived promptly and he was brought to the Hospital within one hour after the onset of symptoms. Diagnosis Sinus bradycardia, 54/min Acute …
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Case 145: Why the Marked Changes in ECG 2? History Diagnosis ECG 2 ECG 2 Diagnosis Explanatory Diagram History This 73 year old man on hemodialysis for chronic renal failure presented with prolonged chest pain and serum troponin elevation. Coronary angiography demonstrated complex lesions of the left anterior descending and circumflex arteries unsuitable for angioplasty. …
Case 146 – A 55 Year-Old Man in the ER with Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 55 year-old man presents to the ER with a 45 min history of chest tightness associated with diaphoresis and mild shortness of breath. Diagnosis Sinus Rhythm ST elevation …
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Case 147: A 75 Year-Old Man with Throat Tightness History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 75 year-old man with a history of exercise induced throat tightness intermittently associated with near syncope is admitted to the cardiology teaching service. His baseline ECG was normal but because of a …
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Case 148: A 79 Year-Old Woman in Hospital with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 79 year-old woman is admitted to hospital with palpitations. Because of a previous history of atrial fibrillation, she had been started on a combination of flecainide and bisoprolol. She presented to …
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Case 149: A 72-Year-Old Man in the Medical-Surgical ICU History Diagnosis History A 72-year-old man was admitted to the MSICU after vascular surgery. Post extubation, he developed the rhythm noted below: Diagnosis Sinus Rhythm with premature ventricular complexes followed by onset of Polymorphic Ventricular Tachycardia and Ventricular Fibrillation Comment: In sinus rhythm, with the two …
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Case 150: A 76 Year-Old Woman Seen in the Structural Heart Clinic History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis ECG 4 ECG 4 Diagnosis History A 76yr woman with severe symptomatic aortic stenosis is seen in the structural heart clinic. Her baseline ECG is shown below: Diagnosis Sinus rhythm, 65/min …
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