Case 12: A 43-Year-Old Man with Palpitations History Diagnosis History A 43-year-old man presents with frequent episodes of palpitations, unrelated to exertion, which he describes as the sensation of isolated pulsations in his anterior chest: Diagnosis Sinus rhythm, 78/min Frequent premature ventricular complexes Otherwise, a normal ECG ECG ID: E544
Case 13: A 38-Year-Old Woman with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis History A 38-year-old woman is referred for episodes of paroxysmal tachycardia since her teens: Diagnosis Sinus rhythm, 80/min Short PR interval Wolff-Parkinson-White ECG 2 EP studies demonstrated a right lateral bypass tract, that was successfully ablated. The following ECG was recorded …
Case 14: A 58-Year-Old Man with Dilated Cardiomyopathy History Diagnosis History A 58-year-old man is followed in the heart failure clinic for a 3 year history of symptomatic dilated cardiomyopathy: Diagnosis Sinus rhythm, 90/min. Biatrial enlargement Left ventricular hypertrophy with repolarization abnormality A recent echocardiogram demonstrated dilated left ventricle and left atrium and moderate mitral …
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Case 15: A 46-Year-Old Man in the Emergency Department History Diagnosis History A 46-year-old-man is presenting to the emergency department: Diagnosis Junctional tachycardia, 116/min Criteria for the diagnosis of Junctional Tachycardia in this case: There is narrow QRS tachycardia, with moderately rapid rate. P waves follow the QRS complexes closely and are inverted in the inferior leads. …
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Case 16: A 62-Year-Old Man with Ischemic Cardiomyopathy History Diagnosis History A 62-year-old man is presenting with ischemic cardiomyopathy, with severely impaired LV function (LV ejection fraction 21%): Diagnosis Sinus rhythm, 61/min Right axis deviation Nonspecific intraventricular block ECG ID: E456
Case 17: A 79-Year-Old Man with Angina History Diagnosis History A 79-year-old man with 15-year history of coronary artery disease is presenting with recent angina on mild exertion: Diagnosis Sinus Rhythm, 85/min Inferior myocardial infarction, age undetermined Anterior myocardial infarction, age undetermined ECG ID: E434
Case 18: A 56-Year-Old Woman in Cardiac Catheterization Lab History Diagnosis ECG 2 ECG 2 Diagnosis Comparing ECG 1 vs. ECG 2 History A 56-year-old woman with recent onset of angina is in the cardiac catheterization lab for coronary angiography: Diagnosis The P wave and the QRS are negative in I and aVL, positive in …
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Case 19: A 78-Year-Old Man with an Acute Ischemic Leg History Diagnosis ECG 2 ECG 2 Diagnosis History A 78-year-old man with an acute ischemic left leg is admitted for urgent femoro-popliteal bypass: Diagnosis Lear error, right arm – left arm reversal Please repeat ECG with correct lead placement. ECG 2 A second ECG is …
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Case 20: A 45-Year-Old Man in the Cardiac Unit History Diagnosis History A 45-year-old man in the cardiac unit has suddenly experienced rapid palpitation, dyspnea and weakness: Diagnosis Ventricular tachycardia, rate 142/min In favour of the diagnosis of ventricular tachycardia: The clinical presentation Regular wide-QRS tachycardia AV dissociation (regular sinus P waves, rate 84/min; regular …
Case 21: A 58-Year-Old Hypertensive Man in the Emergency Department History Diagnosis History A 58-year-old hypertensive man is in the Emergency Department, complaining of palpitation and dyspnea: Diagnosis Atrial flutter with variable AV conduction, Ventricular rate 100/min Minor voltage criteria for left ventricular hypertrophy (S in V1 + R in V5 = 37 mm) ECG …
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