ecgmadesimple, Author at ECG Made Simple

Case 58: A 72-Year-Old Woman with Congestive Heart Failure

Case 58: A 72-Year-Old Woman with Congestive Heart Failure History Diagnosis History This 72-year-old woman with a history of rheumatic heart disease and a mechanical mitral valve is admitted to the cardiac ward for treatment of congestive heart failure: Diagnosis – Sinus rhythm, 88/min– Right axis deviation– Right ventricular hypertrophy with repolarization abnormality Comments: The echocardiogram …

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Case 59: An 88-Year-Old Man with Syncope

Practice Level 4

Case 59: An 88-Year-Old Man with Syncope History Diagnosis History An 88-year-old man is brought to the Emergency Deptartment from a local nursing home because of an episode of syncope lasting one minute. Recently, he had been complainng of fatigue, and his pulse had been noted to be slow: Diagnosis Sinus rhythm with second degree …

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Case 60: An 82-Year-Old Man in the Cardiac Surgical ICU

Practice Level 4

Case 60: An 82-Year-Old Man in the Cardiac Surgical ICU History Diagnosis History An 82-year-old man is in the cardiac surgical ICU, one day after a triple aorto-coronary bypass: Diagnosis Sinus rhythm, 97/min Bifascicular block – Right bundle branch block and left posterior fascicular block ST and T wave abnormality, consider inferior ischemia ST abnormality, …

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Case 61: A 41-Year-Old Woman with Palpitations

Practice Level 4

Case 61: A 41-Year-Old Woman with Palpitations History Diagnosis History This 41-year old woman reports palpitations since she was a teenager, with the sensation of rapid pounding in her left anterior chest, starting and ending suddenly. Recently, the episodes have been lasting 15-30 minutes and have been associated with weakness and mild dyspnea: Diagnosis Sinus rhythm …

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Case 62: A 71-Year-Old Man in the Emergency Department

Practice Level 4

Case 62: A 71-Year-Old Man in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 71-year-old man with end-stage renal disease on hemodialysis presents to the emergency department with weakness and malaise. He reports that he was recently treated with antibiotics for a febrile illness of unkown …

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Case 63: A 38-Year-Old Woman in Congestive Heart Failure

Practice Level 4

Case 63: A 38-Year-Old Woman in Congestive Heart Failure History Diagnosis History This 38-year-old woman was admitted to the cardiac ward in congestive heart failure. She has been known to have a congenital cardiac abnormality since her teens, but had enjoyed good health until 2 years ago when she developed a Ewing sarcoma of the …

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Case 64: A 58-Year-Old Man with Severe Weakness

Practice Level 4

Case 64: A 58-Year-Old Man with Severe Weakness History Diagnosis ECG 2 ECG 2 Diagnosis History This 58-year-old hypertensive man with known dilated cardiomyopathy and severe left ventricular dysfunction presents to the emergency department with a two day history of weakness. His medications include digoxin, furosemide, spironolactone, and KCl 20 mEq bid: Diagnosis No …

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Case 65: A 71-Year-Old Man with Episodic Syncope

Practice Level 4

Case 65: A 71-Year-Old Man with Episodic Syncope History Diagnosis Telemetry Telemetry Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 71-year-old man endorses a six month history of episodic weakness and pre-syncope. In the past month, he reports losing consciousness on several occasions, with episodes lasting 10-30 seconds. He presents …

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Case 66: A 57-Year-Old Man in the Cardiac Surgical Unit

Practice Level 4

Case 66: A 57-Year-Old Man in the Cardiac Surgical Unit History Diagnosis ECG 2 ECG 2 Diagnosis History This 57-year-old diabetic man was admitted with a non-ST-elevation MI, and found to have significant lesions of the main-left and circumflex coronary arteries: Diagnosis Chest leads placement error (V1-V5 reversal) Sinus rhythm Low T wave voltage in …

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Case 67: A 65-Year-Old Man with Chest Pain

Practice Level 4

Case 67: A 65-Year-Old Man with Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 65-year-old man presents to the Emergency Department with severe anterior chest pain lasting one hour. He reports having experienced infrequent mild stable angina over the past two years: Diagnosis Sinus rhythm, 60/min Left …

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