Case 28: A 43-Year-Old Woman in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis History This 43-year-old woman is referred to the Emergency Department by her family doctor because of an abnormal ECG recorded during a routine assessment. She endorses rare episodes of paroxysmal rapid palpitation during the past 2-3 years, lasting 15-20 …
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Case 29: A 42-Year-Old Female in the Gynecology Ward History Diagnosis ECG 2 ECG 2 Diagnosis History A 42-year-old woman is admitted to the gynecology ward pre-operatively. An ECG is performed, which shows the following abnormality: Diagnosis Lead error: left arm electrode/cable detached/non-functional. This precludes the interpretation of the limb leads Sinus rhythm with sinus arrythmia …
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Case 30: A 56-Year-Old Woman in the Arrhythmia Clinic History Diagnosis History A 56-year-old woman presents to the arrhythmia clinic for a follow-up appointment. She had been treated over the past year for paroxysmal atrial fibrillation: Diagnosis Atrial tachycardia (possibly slow atrial flutter) with variable AV block; atrial rate – 200/min, ventricular rate – 77/min …
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Case 31: A 56-Year-Old Woman with Idiopathic Cardiomyopathy History Diagnosis History This 56-year-old woman with idiopathic cardiomyopathy presents to the cardiac outpatient clinic for reassessment. Her condition is stable, and she is failure-free: Diagnosis Sinus rhythm, ventricular rate 79/min Competing accelerated idioventricular rhythm with retrograde atrial conduction Comment: The T waves following the sinus-originated complexes …
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Case 32: A 67-Year-Old Man in the Cardiac Ward History Diagnosis History This 67-year-old man with a long history of coronary artery disease is admitted to the cardiac ward for investigation of frequent angina: Diagnosis Atrial fibrillation with frequent premature ventricular complexes (PVCs) Onset of ventricular tachycardia (rate 145/min) – One fusion complex. Ventricular rate …
Case 33: A 60-Year-Old Woman who Fainted History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 60-year-old woman is sent to the Emergency Dept. by her family physician, who had seen her after an episode of sudden-onset syncope, lasting several minutes. She reports a one month history of brief episodes …
Case 34: A 38-Year-Old Man in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis History A 38-year-old man with diabetes presents to the Emergency Department with severe chest pain: Diagnosis Sinus rhythm, 61/min Acute inferior-posterior myocardial infarction ECG 2 The patient receives therapy with IV fibrinolytics and is transferred to the CCU. This …
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Case 35: An 83-Year-Old Man in Low-Output Failure History Diagnosis History This 80-year-old man with known ischemic cardiomyopathy presents to the Emergency Department with severe low-output failure, hypotension, and hypoxemia. He denies any chest pain: Diagnosis Sinus rhythm, with a run of non-sustained atrial tachycardia, ventricular rate 80/min First degree AV block Nonspecific Intraventricular Block …
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Case 36: An 83-Year-Old Woman in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis History This 83-year-old woman is brought to the Emergency Department from her nursing home after a brief episode of syncope: Diagnosis Sinus rhythm with 2:1 AV block – ventricular rate 59/min, PR markedly prolonged (436 msec) Right bundle branch …
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Case 37: An 85-Year-Old Man in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History An 85-year-old man presents to the Emergency Department because of severe urinary retention secondary to prostatic carcinoma. The patient had an aorto-coronary bypass surgery 10 years earlier. He was diagnosed with Alzheimer’s disease …
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