Case 2: A 37-Year-Old Man with Two Days of Chest Pain History Diagnosis History A 37-year-old man with a history of longstanding ulcerative colitis presents to the ED with a two-day history of constant pleuritic chest pain. This ECG is acquired in the emergency room: Diagnosis Sinus rhythm Pericarditis Note the diffuse ST elevation involving …
Case 2: A 37-Year-Old Man with Two Days of Chest Pain Read More »
Case 3: A 65-Year-Old Man Seen for Routine Assessment History Diagnosis History A 65-year-old man with no cardiac complaints is seen at his family doctor’s office for routine assessment: Diagnosis Sinus bradycardia, 56/min Right bundle branch block (RBBB) ECG ID: E777
Case 4: An 88-Year-Old Woman with Weakness and Dyspnea History Diagnosis History An 88-year-old woman with a 10 year history of coronary artery disease is referred to the Emergency Department by her family physician for weakness and dyspnea on mild exertion for the past week: Diagnosis Atrial tachycardia with 2:1 AV block Ventricular rate 107/min …
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Case 5: A 56-Year-Old Man in the ICU History Diagnosis History This 56-year-old man with a longstanding history of chronic obstructive lung disease is admitted to the ICU with severe pneumonia: Diagnosis Sinus tachycardia, 110/min Right atrial enlargement Right axis deviation Right ventricular hypertrophy with repolarization abnormality (ST depression and negative T waves in the …
Case 6: A 70-Year-Old Woman with Hypertension History Diagnosis History This 70-year-old woman with history of poorly treated hypertension presents to her family doctor, complaining of palpitations: Diagnosis Sinus rhythm with premature ventricular complexes in a pattern of bigeminy. Ventricular rate 92/min Left ventricular hypertrophy with repolarization abnormality ECG ID: E653
Case 7: A 66-Year-Old Man in the ED with Palpitation and Dyspnea History Diagnosis ECG 2 ECG 2 Diagnosis History A 66-year-old man presents to the emergency department with palpitations and dyspnea: Diagnosis Atrial flutter with 2:1 AV conduction Ventricular rate 146/min Clues that suggest atrial flutter with 2:1 AV conduction: A regular narrow-QRS tachycardia …
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Case 8: A 69-Year-Old Woman with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis History A 69-year-old woman presents to the emergency department complaining of severe palpitations, dyspnea, and weakness for the past two hours. During the past year, she experienced 4-5 milder episodes that subsided spontaneously in less than one hour. She has no …
Case 9: A 42-Year-Old Woman with Heart Failure History Diagnosis History A 42-year-old woman with a history of rheumatic fever in her teens and a known murmur for the past ten years presents with a progressively decreasing exercise tolerance for the past four years, and a recent admission to hospital for congestive heart failure: Diagnosis …
Case 10: A 68-Year-Old Man in the Emergency Department History Diagnosis History A 68-year-old man is brought to the Emergency Department after a fall: Diagnosis Sinus tachycardia, 102/min Frequent premature ventricular complexes Otherwise, normal ECG ECG ID: E619
Case 11: A 49-Year-Old Man with Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis History A 49-year-old man presents to the Emergency Department with a one hour history of crushing anterior chest pain: Diagnosis Sinus rhythm, 84/min Acute myocardial infarction – anteroseptal injury pattern ECG 2 The patient underwent successful angioplasty and stenting of …
