Case 118: An 82-Year-Old Man with a Recent Stroke History Diagnosis History This 82-year-old man with a history of diabetes and hypertension was admitted to hospital with a severe stroke.He has developed fever and evidence of aspiration pneumonia, and the following ECG was recorded: Diagnosis Multifocal atrial tachycardia (rate 130/min) Left anterior fascicular block Left …
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Case 119: A 51-Year-Old Woman with Palpitations History Diagnosis History This 51 year old woman presents with palpitations, that she describes as a sensation of irregular pounding in her precordium.She has no other cardiac symptoms: Diagnosis Sinus rhythm with frequent premature atrial complexes with aberrant conduction The pattern of aberration varies (iRBBB, RBBB, LBBB). ECG …
Case 120: A 63-Year-Old Man in the Cardiac Surgery ICU History Diagnosis History A 63-year-old man is in the cardiac surgery ICU after replacement of a myxomatous mitral valve with ruptured cordae tendineae: Diagnosis Sinus Rhythm with sinus arrhythmia and AV dissociation due to a competing accelerated junctional rhythm 2 capture complexes (the 5th and …
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Case 121: A 65-Year-Old Man in the Pacemaker Clinic History Diagnosis History This 65-year-old man presents to the pacemaker clinic for routine follow-up: Diagnosis Sinus rhythm with second degree AV block Mobitz II Escape paced QRS complexes (VVI pacemaker) Left axis deviation, Right bundle branch block This 65 year old patient has had diabetes for …
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Case 122: A 64-Year-Old Man Recovering from AAA Repair History Diagnosis History This 64-year-old man is in hospital, recovering from a repair of a thoraco-abdominal aortic aneurysm: Diagnosis Marked sinus bradycardia, 38/min AV dissociation due an junctional escape rhythm (ventricular rate 43/min) One AV capture. Non-specific T wave abnormality This is an example of AV …
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Case 123: An 85-Year-Old Woman in the Pacemaker Clinic History Diagnosis History This 85-year-old woman had a ventricular pacemaker implanted 3 years ago after she developed third degree AV block during a stress test originally ordered due to dyspnea. She had no chest pain. The echocardiogram showed normal left ventricular function and mild mitral regurgitation. …
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Case 124: A 39-Year-Old Woman with a Left Atrial Myxoma History Diagnosis ECG 2 ECG 2 Diagnosis History A 39-year old woman is postoperative day one from the resection of a left atrial myxoma: Diagnosis Sinus rhythm with complete heart block and junctional escape rhythm Atrial rate 66/min, ventricular rate 53/min Acute pericarditis During her …
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Case 125: A 75-Year-Old Woman in the Emergency Department History Diagnosis History A 75-year-old woman presents to the emergency department with “dizzy spells”. She reports having stable angina for past two years: Diagnosis Sinus bradycardia with Sino-atrial Exit Block Type II Junctional escape complexes Left axis deviation ST-T abnormality, consider lateral ischemia ECG ID: E316
Case 126: A 62-Year-Old Woman in the Cardiac Surgery ICU History Diagnosis History A 62-year-old woman is in the cardiac surgery ICU, postoperative day one from a mitral valve repair and annuloplasty. She had been known to have severe symptomatic mitral regurgitation due to a prolapsed and flail valve, secondary to myxomatous degeneration. Following surgery, …
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Case 127: A 43-Year-Old Woman with Presyncope History Diagnosis History 43 year old woman referred to the cardiac clinic because of episodic presyncope: Diagnosis Sinus rhythm with Mobitz II second degree sinoatrial exit block Junctional escape complexes ECG ID: E315
