Case 108: A 37 Year-Old-Man with Palpitations History Diagnosis History This 37-year-old man reports a several year history of occasional palpitations, with isolated runs of “thumps” in his chest: Diagnosis Sinus rhythm, with frequent premature atrial complexes (PACs), isolated, in a couplet, and in a run of atrial tachycardia The first PAC of the couplet …
Case 109: A 78-Year-Old Man in the Cardiac Clinic History Diagnosis History This 78-year-old man who had aorto-coronary bypass surgery ten years ago is in the cardiac clinic for a routine follow-up. He is stable and free of dyspnea or chest pain during moderate exertion. He denies any dizziness or syncope: Diagnosis Sinus rhythm with …
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Case 110: A 76-Year-Old Woman on the Cardiac Ward History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 76 year old woman is admitted to the cardiac ward for treatment of congestive heart failure. Of note, her QRS pattern has been unchanged since the time of her last admission four months ago: …
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Case 111: A 59-Year-Old Man with Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis History A 59-year-old man presents to the Emergency Department, reporting chest pain for the past 45 minutes: Diagnosis Lead error, right arm – left arm reversal Probably sinus rhythm Inferior-posterior infarction, age undetermined ECG 2 A new …
Case 112: A 55-Year-Old Man with Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 55-year-old diabetic man with a two year history of mild angina is brought to the Emergency Department three hours after the onset of constrictive central anterior chest pain: Diagnosis Sinus rhythm Incomplete right …
Case 113: A 47-Year-Old Man in the Cardiac Catheterization Lab History Diagnosis ECG 2 ECG 2 Diagnosis History A 47-year-old man presenting with severe chest pain for the past hour is transferred to the catheterization lab for coronary angiography: Diagnosis Right arm – Left arm reversal Sinus rhythm Septal myocardial infarction, age undetermined T wave …
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Case 114: A 43-Year-Old Man with a Slow Pulse History Diagnosis History A 43-year old man is referred for bradycardia and occasional brief dizziness. He reports being very active, running several miles five days a week, without symptoms: Diagnosis Sinus rhythm with type II Sino-Atrial exit block and junctional escape complexes Ventricular rate 52/min The …
Case 115: A 71-Year-Old Man who Fainted History Diagnosis ECG 2 ECG 2 Diagnosis History This 71-year-old man with a known history of coronary artery disease and a previous myocardial infarction is seen in the emergency department following an episode of syncope at home. He collapsed and hit the back of his head. He reports …
Case 116: A 56-Year-Old Man with Recurrent Tachycardia History Diagnosis ECG 2 History 56 year old man with a 10 year history of coronary artery disease. During the past year, frequent episodes of palpitation lasting from minutes to several hours. This ECG was recorded in the emergency department during one of these episodes: Diagnosis Ventricular …
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Case 117: An 88-Year-Old Man with Congestive Heart Failure History Diagnosis ECG 2 ECG 2 Diagnosis History This 88-year-old man with a history of hypertension and diabetes was admitted to hospital for treatment of congestive heart failure. He had been on sotalol 80 mg po bid for the past year due to previous episodes of …
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