Case 8: A 76-Year-Old Man in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis Illustrative Diagram ECG 3 ECG 3 Diagnosis History A 76-year-old man is referred by his family physician because of poor oral intake, weight loss, and severe fatigue over the past 2 weeks: Diagnosis Sinus tachycardia One premature ventricular complex Tall …
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Case 9: A 79-Year-Old Woman in the Cardiac Surgical ICU History Diagnosis ECG 2 ECG 2 Diagnosis History A 79-year-old woman is in the cardiac surgical ICU, one week following aorto-coronary bypass surgery. The post-operative course has been complicated by pneumonia and respiratory failure, requiring intubation: Diagnosis Pseudo-flutter-waves artifacts, rate 480/min The artifacts preclude the …
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Case 10: A 58-Year-Old Man in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 History This 58-year-old man with a 10-year history of poorly treated hypertension is brought to the Emergency Department with severe lower retrosternal/epigastric pain for the past hour, as well as weakness and dyspnea: Diagnosis Sinus rhythm, 72/min …
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Case 11: A 57-Year-Old Man in the Cardiac Surgical Unit History Diagnosis ECG 2 ECG 2 Diagnosis History This 57-year-old man with severe unstable angina was taken to the operating room for urgent revascularization. He had four aorto-coronary bypasses and an endarterectomy of the right coronary artery. This ECG was recorded 30 minutes after transfer …
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Case 12: A 49-Year-Old Man in the Surgical ICU History Diagnosis History A 49-year-old man is in the surgical ICU, 6 hours after aorto-coronary bypass: Diagnosis Ventricular tachycardia, 130/min Comment: In favour of ventricular tachycardia are the wide QRS rhythm (120 msec QRS duration) with evidence of AV dissociation. The right bundle branch with right inferior axis …
Case 13: A 76-Year-Old Man with Infective Endocarditis History Diagnosis ECG 2 ECG 2 Diagnosis History You are notified about an abnormal ECG in a 76-year-old man admitted to the acute care unit with infective endocarditis of his prosthetic aortic valve: Diagnosis Sinus rhythm with Mobitz I second degree AV block – Ventricular rate 82/min Right bundle …
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Case 14: A 67-Year-Old in the Cardiac Clinic History Diagnosis History A 67-year-old man presents to the cardiac clinic for a routine follow-up. He suffered from an acute myocardial infarction 3 months ago, but he reports a satisfactory recovery, free from chest pain or dyspnea during moderate exercise: Diagnosis Sinus rhythm with Mobitz I second degree …
Case 15: A 63-Year-Old Woman in the Cardiac Clinic History Diagnosis ECG 2 ECG 2 Diagnosis History This 73-year-old woman has been referred by her family physician because of angina during moderate exertion. She has been known to have a congenital cardiac abnormality: Diagnosis The computer’s diagnostic program suggests “arm lead reversal”, however, dextrocardia is the …
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Case 16: A 66-Year-Old Woman in the Cardiac Surgery Unit History Diagnosis ECG 2 ECG 2 Diagnosis History This 66-year-old woman is in the cardiac surgery unit, 2 hours after triple aorto-coronary bypass: Diagnosis Accelerated junctional rhythm – ventricular rate 71/min Septal infarction, age undetermined T wave abnormality, consider anterior ischemia ECG 2 The following …
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Case 17: A 66-Year-Old Woman Admitted with a Drug Overdose History Diagnosis ECG 2 ECG 2 Diagnosis History This 66-year-old woman with a history of depression and chronic back pain was brought to the Emergency Department a few hours after having ingested large doses of acetaminophen, oxycodone and citalopram: Diagnosis Sinus rhythm, 82/min Minimal voltage …
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