Case 98: A 35-Year-Old Woman with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis History This 35-year-old woman presents to the ED with a one hour episode of palpitations. She reports that over the past two years, she has experienced biweekly intermittent palpitations lasting 10-15 seconds, that are occasionally associated with near-syncope. Otherwise, she is …
Case 99: A 57-Year-Old Woman in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis Explanation History A 57-year-old woman presents to the emergency department with community acquired pneumonia: Diagnosis Lead error – right arm-right leg lead reversal ECG 2 After correcting the lead placement, the following ECG was recorded: ECG 2 Diagnosis The …
Case 99: A 57-Year-Old Woman in the Emergency Department Read More »
Case 100: An 89-Year-Old Man in the Geriatrics Clinic History Diagnosis History An 89-year-old man is followed in the geriatrics clinic because of dementia. He lives in a nursing home, and is able to walk regularly without discomfort. He has no known cardiac problems, and no history of syncope: Diagnosis Sinus rhythm with Mobitz II …
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Case 101: A 68-Year-Old Man in the Medical ICU History Diagnosis History This 68-year-old man with severe obstructive lung disease and pulmonary hypertension is admitted to the medical intensive care unit with extensive pneumonia: Diagnosis Multifocal atrial tachycardia, rate 140/min, with occasional aberrantly conducted QRS complexes (right bundle branch block pattern) Right ventricular hypertrophy The …
Case 102: A 32-Year-Old Man with Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 32-year-old man with several risk factors for coronary artery disease (family history, hyperlipidemia, and smoking) is seen in the Emergency Department one hour after the onset of severe retrosternal pain radiating to the …
Case 103: A 78-Year-Old Woman in the Endocrinology Clinic History Diagnosis ECG 2 ECG 2 Diagnosis History This 78-year-old woman with a longstanding history of poorly controlled hypertension, type 2 diabetes, and left ventricular dysfunction, presents to the endocrinology clinic for follow-up, and a routine ECG is obtained: Diagnosis Sinus tachycardia, 105/min with occasional premature …
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Case 104: A 59-Year-Old Man in the Cardiac Surgery Ward History Diagnosis History This 59-year-old man with a two year history of angina is admitted to the cardiac surgery ward to undergo coronary artery bypass surgery: Diagnosis Sinus rhythm with bigeminal sequence Consider: Type I sino-atrial block or premature atrial complexes (originating in an area …
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Case 105: A 62-Year-Old Man with Palpitations History Diagnosis ECG 2 ECG Comparison History A 62-year-old presents with a ten year history of episodic fast palpitations, which he reports start and end suddenly, and are accompanied by neck pulsations and dyspnea. He reports the palpitations last one to two hours, and have previously needed to …
Case 106: A 67-Year-Old Man with Severe Obstructive Lung Disease History Diagnosis History This 67-year-old man presents to the respirology clinic for routine follow-up. He has known COPD in the context of a 60 pack-year smoking history, and was recently started on home oxygen: Diagnosis Sinus rhythm Right bundle branch block plus right ventricular hypertrophy …
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Case 107: A 45-Year-Old Man with Crushing Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis History A 45-year-old man is admitted to the CCU with crushing anterior chest pain: Diagnosis Sinus rhythm Left bundle branch block with acute septal myocardial infarction When a q wave is present in lead I in a patient with …
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