Case 18: An 82-Year-Old Woman in the Cardiovascular ICU History Diagnosis ECG 2 ECG 2 Diagnosis History An 82-year-old woman is in the cardiac ICU after replacement of her aortic valve due to severe aortic stenosis: Diagnosis Sinus rhythm with complete heart block Escape rhythm has wide QRS with ventricular rate 66/min (likely junctional rhythm …
Case 18: An 82-Year-Old Woman in the Cardiovascular ICU Read More »
Case 19: A 45-Year-Old Man in the Cardiac Ward History Diagnosis ECG 2 ECG 2 Diagnosis History This 45-year-old man was diagnosed two years ago with dilated cardiomyopathy of unknown etiology. He was symptom-free until three weeks ago when he started complaining of frequent palpitations associated with weakness and occasional near-syncope. He has been admitted …
Case 20: A 58-Year-Old Man in the Cardiac Clinic History Diagnosis ECG 2 ECG 2 Diagnosis History This 58-year-old man had a myocardial infarction 2 years ago. He has made a good recovery; he is active and symptom-free. Today, he presents to the cardiac clinic for reassessment: Diagnosis Sinus rhythm, 69/mim Left bundle branch block (LBBB) …
Case 20: A 58-Year-Old Man in the Cardiac Clinic Read More »
Case 21: An 80-Year-Old Woman in the Fracture Clinic History Diagnosis History This 80-year-old woman recently had an accidental fall and suffered from a proximal fracture of her left humerus. She presents to the fracture clinic, and is noted to have an irregular cardiac rhythm. An ECG shows the following: Diagnosis Sinus rhythm with frequent …
Case 21: An 80-Year-Old Woman in the Fracture Clinic Read More »
Case 22: A 61-Year-Old Man in the Nephrology Clinic History Diagnosis History This 61-year-old hypertensive man is followed in the nephrology clinic because of severe progressive renal failure: Diagnosis Sinus tachycardia, 104/min Left anterior fascicular block Intermittent (2:1) right bundle branch block (RBBB) Notice that in leads I, II and III the first 80 msec. …
Case 22: A 61-Year-Old Man in the Nephrology Clinic Read More »
Case 23: A 69-Year-Old Woman in the Cardiac Clinic History Diagnosis History This 69-year-old woman is referred by her family doctor. For several years, she has had episodes of paroxysmal atrial fibrillation. Recently, she complains of severe fatigue and faintness: Diagnosis AV dissociation Marked ectopic atrial bradycardia (P waves with abnormal morphology and axis – …
Case 23: A 69-Year-Old Woman in the Cardiac Clinic Read More »
Case 24: A 23-Year-Old Man who Collapsed History Diagnosis ECG 2 ECG 2 Diagnosis History This 23-year-old man had an out-of-hospital cardiac arrest one hour after playing hockey. He was successfully resuscitated.This ECG was recorded 2 weeks later, when he was transferred to a tertiary care cardiac center: Diagnosis Sinus bradycardia, 58/min, with interpolated premature ventricular …
Case 25: A 75-Year-Old Woman with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis History A 75-year-old woman presents to the Emergency Department with a two hour history of palpitations, dyspnea, and weakness. She reports no previous cardiac issues: Diagnosis Atrial tachycardia with Mobitz I second degree AV block – atrial rate 172/min, ventricular rate 154/min Minimal …
Case 26: An 88-Year-Old Woman in the Emergency Department History Diagnosis History An 88-year-old woman is sent to the ED by her family physician because of frequent, brief episodes of paroxysmal palpitations during the past 24 hours: Diagnosis AV nodal re-entrant tachycardia 180/min, interrupted by a 6 second period of sinus rhythm This is a …
Case 26: An 88-Year-Old Woman in the Emergency Department Read More »
Case 27: A 61-Year-Old Man in the Cardiac Surgical ICU History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis ECG 4 ECG Diagnosis History This 61-year-old man underwent closure of a large primum atrial septal defect (2.5 cm in width and 2.9 cm in height) with a pericardial patch and repair of …
Case 27: A 61-Year-Old Man in the Cardiac Surgical ICU Read More »
