Case 88: A 70-Year-Old Man with Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis History This 70-year-old man with a previous history of CABG developped sudden severe chest pain and called 911. He arrived in the Emergency Department one hour after the onset of his symptoms: Diagnosis Sinus rhythm ST elevation, consider lateral injury …
Case 89: A 48-Year-Old Woman with Trisomy 21 History Diagnosis History This 48-year-old woman with Trisomy 21 has a known large ventricular septal defect and EIsenmenger syndrome. She is on continuous oxygen therapy and is very limited by dyspnea and fatigue on mild exertion: Diagnosis Sinus rhythm with one premature ventricular complex First degree AV …
Case 90: A 50 Year-Old Man in the Cardiac ICU History Diagnosis History A 50-year-old man, who had a myocardial infarction 6 months ago, is in the cardiac intensive care unit one day after aorto-coronary bypass: Diagnosis Sinus bradycardia Sino-Atrial Block (Mobitz I second degree AV block) Inferior infarction ECG ID: E395
Case 91: A 35-Year-Old Woman with Palpitations History Diagnosis History A 35-year-old woman presents to the Emergency Department with palpitations. She reports that since she was a teenager, she has had 1-2 episodes per year of rapid palpitations, that start and end abruptly and are associated with weakness, mild dyspnea, and a pulsating sensation in …
Case 92: A 69-Year-Old Man in the CCU History Diagnosis History A 69-year-old man is in the CCU because of a myocardial infarction, that was treated successfully with angioplasty: Diagnosis Sinus tachycardia Left axis deviation – Left anterior fascicular block Nonspecific intraventricular block Acute septal infarction ECG ID: E457
Case 93: A 45-Year-Old Man with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis History This 45-year-old man was referred to the EP clinic because of episodic palpitations since he was a teenager, occuring once or twice a year and lasting from a few minutes to one hour. Recently, his palpitations have been more frequent, …
Case 94: A 67-Year-Old Woman with Palpitations History Diagnosis History This 67-year-old woman with history of mild stable angina for the past three years is in the Emergency Dept. with palpitation of two hours duration, associated with moderate dyspnea and mild retrosternal discomfort: Diagnosis Supraventricular tachycardia, 178/min Tachycardia terminates at end of ECG Comment: Negative …
Case 95: A 44-Year-Old Man with Chest Pain History Diagnosis History A 44-year-old man presents to the Emergency Department 4 hours after the onset of retrosternal chest pain: Diagnosis Sinus rhythm, 90/min Left atrial enlargement Left posterior fascicular block Acute septal myocardial infarction ECG ID: E444
Case 96: A 38-Year-Old Man who Fainted History Diagnosis Electrophysiologic Study ECG 2 Diagnosis History This 38-year-old man was brought to the Emergency Department after an episode of syncope. During the previous night, when getting up to urinate he felt transiently dizzy. He returned to bed, and and promptly his symptoms improved. On the way …
Case 97: A 73-Year-Old Woman with a Prosthetic Mitral Valve History Diagnosis History This 73-year-old woman presents to clinic postoperative day two from the replacement of her mitral valve due to severe mitral regurgitation: Diagnosis Sinus rhythm with Mobitz I second degree AV Block Low voltage QRS Poor R wave progression from V1 to V3 …
Case 97: A 73-Year-Old Woman with a Prosthetic Mitral Valve Read More »
