Case 151: A 79 Year-Old Man in the Emergency Room History Diagnosis History A 79 year-old man presents to the emergency room with increasing fatigue and shortness of breath over the past several weeks. His ECG done in the ER is shown below: Diagnosis Atrial flutter with 4:1 conduction, Ventricular rate 84/min Low Voltage QRS …
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Case 152: A 75 Year-Old Man in CVICU after Cardiac Surgery History Diagnosis History A 75 year old man is now post-operative day one after coronary bypass surgery and the following ECG was recorded in the cardiovascular ICU (CVICU): Diagnosis Atrial flutter with 2:1 conduction, ventricular rate 145/min Non-specific T-wave changes ECG ID: E844
Case 153: An 85 Year-Old Woman in the ER with Shortness of Breath History Diagnosis History An 85 year old woman presents to the emergency room with three days of shortness of breath. Her ECG is shown below. Diagnosis Atrial Tachycardia with 2:1 conduction, ventricular rate 93/min Low voltage QRS Cannot rule out anterior infarct …
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Case 1: A 53-Year-Old Man with Shortness of Breath History Diagnosis History A 53-year-old man with a history of ischemic cardiomyopathy and an implanted defibrillator presents to the ICD clinic for routine follow-up. He complains of increased shortness of breath over the last few weeks: Diagnosis Atrial tachycardia with 2:1 AV conduction Non-specific intraventricular conduction block* …
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Case 2: A 68-Year-Old Woman with Intermittent Presyncope History Diagnosis ECG 2 ECG 2 Diagnosis History A 68-year-old woman is seen in the cardiac clinic for intermittent presyncope, which is more pronounced post-exercise. She is taken for a treadmill stress test, and has a normal heart rate response to exercise with no evidence of ischemia. …
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Case 3: A 42-Year-Old Man with Chest Pain History Diagnosis CXR History This 42-year-old man presents to the Emergency Department with atypical pleuritic chest pain, on and off for a few seconds at a time: Diagnosis Negative P-waves in lead I are initially suggestive of Right Arm-Left Arm lead reversal, but the unusual P-wave axis …
Case 4: A 44-Year-Old Man in the Cardiac Clinic History Diagnosis History This 46-year-old man is discovered to have a cardiomyopathy 3 years ago when he applied for life insurance. He remains moderately active and cycles frequently without discomfort: Diagnosis Marked sinus bradycardia, 41/min Left ventricular hypertrophy with QRS widening and repolarizarion abnormality Marked ST …
Case 5: A 69-Year-Old Man in the Cardiac Clinic History Diagnosis History This 69-year-old man presents to the cardiac clinic for his yearly assessment. Seven years ago, he suffered from a myocardial infarction that was treated successfully with angioplasty. He has no cardiac complaints, and is able to do moderately heavy exercise without discomfort: Diagnosis …
Case 6: An 80-Year-Old Man in the Cardiac Surgery Ward History Diagnosis History This 80-year-old man, with a history of severe aortic stenosis, is in the cardiac surgery ward 6 hours after a successful aortic valve replacement: Diagnosis Marked sinus bradycardia with a junctional escape pacemaker Ventricular rate 47/min Non-specific T wave abnormality ECG ID: …
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Case 7: A 75-Year-Old Man in the CCU History Diagnosis History This 75-year-old man is brought to the hospital by ambulance and admitted to the CCU 45 minutes after the onset of severe anterior chest pain, weakness and dyspnea: Diagnosis Sinus tachycardia, 106/min Left ventricular hypertrophy ST elevation in aVR and V1, and marked diffuse …
