Case 48: A 65-Year-Old Woman who Fainted History Diagnosis History This 65-year-old woman is brought to the Emergency Department following an episode of syncope lasting 30 seconds. In the previous 2 weeks she reports feeling weak and lightheaded: Diagnosis Sinus rhythm with high grade AV block Sinus rate 76/min, ventricular rate 37/min Junctional escape complexes …
Case 49: A 45-Year-Old Man with an Abnormal ECG History Diagnosis History This 45-year-old accountant has been found to have an abnormal ECG during a routine general assessment by his family physician. He is normally active, without cardiac complaints. No previous ECGs are available: Diagnosis Sinus rhythm, 66/min Left ventricular hypertrophy with ST depression and giant …
Case 50: A 36-Year-Old Man with Duchenne Muscular Dystrophy History Diagnosis History A 36-year-old man with Duchenne muscular dystrophy is bedridden and ventilator-dependent, requiring G-tube feeding: Diagnosis Sinus rhythm, 76/min Tall R waves in the right precordial leads (V1-V3) Deep Q waves in I and the left chest leads These QRS findings are frequently found …
Case 50: A 36-Year-Old Man with Duchenne Muscular Dystrophy Read More »
Case 51: A 73-Year-Old Man with Ischemic Cardiomyopathy History Diagnosis History This 73-year-old man with a long history of coronary artery disease and severe left ventricular dysfunction is in the cardiac clinic for a follow-up assessment: Diagnosis Sinus bradycardia, 53/min Left atrial enlargement Left axis deviation Left bundle branch block When we review this ECG, …
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Case 52: A 68-Year-Old Woman with Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis History This 68-year-old woman is brought to the Emergency Department because of severe pain for the past 2-3 hours, initially on the back of her neck and left shoulder, later moving to her anterior chest, worse on taking deep breaths …
Case 53: An 81-Year-Old Man with Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 81-year-old man came to the Emergency Department complaining of anterior chest pain of 4 days duration, worse when sitting up and inhaling deeply. For several months, his state of health had deteriorated, with increasing …
Case 54: A 45-Year-Old Man in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis ECG 4 ECG 4 Diagnosis History This 45-year-old man presents to the Emergency Department with atypical chest pain for the past two hours. He reports occasional palpitations, usually at night, subsiding spontaneously after 15-30 …
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Case 55: A 63-Year-Old Man in the Cath Lab History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 63-year-old man presents to the cardiac catherization lab six days after an acute myocardial infarction. His symptoms initially had improved with fibrinolysis, however he had recurrent chest pain after 24 hours, and …
Case 56: An 81-Year-Old Woman in the Post-Anaesthetic Care Unit History Diagnosis ECG 2 ECG 2 Diagnosis History This 81-year-old woman just underwent surgery for small bowel obstruction. 15 years ago, she suffered from a myocardial infarction, requiring a 2-vessel aorto-coronary bypass. She is presently in the post-anaesthetic care unit, and has developped the following arrhythmia: …
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Case 57: A 46-Year-Old Woman with Palpitations History Diagnosis History This 46-year-old woman with well-managed hypertension presents to the family doctor with occasional palpitations, that she describes as a sensation of isolated “thumps” in her left anterior chest: Diagnosis Sinus rhythm, 83/min with frequent premature junctional complexes One premature ventricular complex or aberrantly-conducted premature supraventricular …
